2026 NPPES data Obstetrics & Gynecology Nurse Practitioner NPI 1184657702 A.P.N.
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RENEE GRANDIERI-FLUKER, A.P.N.

Obstetrics & Gynecology Nurse Practitioner in PAHRUMP, Nevada. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
52
Medicare Part D claims · 21 beneficiaries · Obstetrics & Gynecology Nurse Practitioner avg: 232

What the federal data shows

RENEE GRANDIERI-FLUKER, A.P.N. filed 52 Medicare Part D claims in 2023 as a Obstetrics & Gynecology Nurse Practitioner in PAHRUMP, Nevada.

52
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

RENEE GRANDIERI-FLUKER, A.P.N.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

52 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about RENEE GRANDIERI-FLUKER, A.P.N.?

Quality data not reported

NPI registry status

Active

Issued 07/08/2006

NPI 1184657702

Primary specialty

Obstetrics & Gynecology Nurse Practitioner

Niche

2,864 US NPIs in this specialty

Medicare Part D claims

52 78% vs specialty avg

2023 prescription claims

Specialty avg: 232

Specialty distribution in Nevada

How Obstetrics & Gynecology Nurse Practitioner compares to other specialties among Nevada providers

Nevada providers

Obstetrics & Gynecology Nurse Practitioner share within Nevada

1. Obstetrics & Gynecology Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Nurse Practitioner share within Nevada

Specialty board-certification context

Estimated specialty board-certified rate — Obstetrics & Gynecology Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Obstetrics & Gynecology Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Obstetrics & Gynecology Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Obstetrics & Gynecology Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

RENEE GRANDIERI-FLUKER, A.P.N. appears in the CMS NPPES registry as a Obstetrics & Gynecology Nurse Practitioner provider holding A.P.N. credentials at 2780 HOMESTEAD RD, PAHRUMP, NV, 89048, with a listed phone of (775) 727-7959. NPI 1184657702 was issued on 07/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRANDIERI-FLUKER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 52 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $966 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Obstetrics & Gynecology Nurse Practitioner is a narrow specialty nationwide, with 2,864 enrolled providers across 52 states and an average of 232 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2780 HOMESTEAD RD
PAHRUMP, NV 89048

Provider Details

NPI 1184657702
Specialty Obstetrics & Gynecology Nurse Practitioner
Credentials A.P.N.
Gender Female
NPI Issued 07/08/2006

Hospital and facility affiliations

Facilities where RENEE GRANDIERI-FLUKER, A.P.N. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

PAHRUMP PAIN FREE LLC
PAHRUMP, NV

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

52
Total Claims
$966
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
70
Total Day Supply
1,547
Generic Drug Cost
$438

Patient Demographics

Average Patient Age
68.7 years
Avg HCC Risk Score
1.52

Obstetrics & Gynecology Nurse Practitioner Overview

How RENEE GRANDIERI-FLUKER, A.P.N. fits within the Obstetrics & Gynecology Nurse Practitioner landscape nationally.

2,864
Obstetrics & Gynecology Nurse Practitioner Providers in US
52
States with Obstetrics & Gynecology Nurse Practitioner
232
Avg Claims per Provider

RENEE GRANDIERI-FLUKER, A.P.N.'s 52 claims are below the specialty average of 232.

Nearby Obstetrics & Gynecology Nurse Practitioner Providers in Nevada

Other clinicians with the same primary specialty enrolled in Nevada, drawn from the same CMS NPPES roster as GRANDIERI-FLUKER.

Compare Obstetrics & Gynecology Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is RENEE GRANDIERI-FLUKER, A.P.N.'s specialty?
RENEE GRANDIERI-FLUKER, A.P.N. specializes in Obstetrics & Gynecology Nurse Practitioner and practices in PAHRUMP, Nevada. Credentials: A.P.N..
How much does RENEE GRANDIERI-FLUKER, A.P.N. prescribe under Medicare Part D?
In 2023, RENEE GRANDIERI-FLUKER, A.P.N. wrote 52 Medicare Part D claims totaling $966 in drug costs for 21 beneficiaries.
Where is RENEE GRANDIERI-FLUKER, A.P.N. located?
RENEE GRANDIERI-FLUKER, A.P.N. is located at 2780 HOMESTEAD RD, PAHRUMP, NV, 89048. Phone: (775) 727-7959.
What is RENEE GRANDIERI-FLUKER, A.P.N.'s NPI number?
RENEE GRANDIERI-FLUKER, A.P.N.'s National Provider Identifier (NPI) is 1184657702, issued on 07/08/2006.
How many Obstetrics & Gynecology Nurse Practitioner providers are there in the US?
There are 2,864 Obstetrics & Gynecology Nurse Practitioner providers across 52 states in the US. The average Obstetrics & Gynecology Nurse Practitioner provider writes 232 Medicare Part D claims per year.
Does RENEE GRANDIERI-FLUKER, A.P.N. accept Medicare?
RENEE GRANDIERI-FLUKER, A.P.N. appears in CMS Medicare data with 52 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RENEE GRANDIERI-FLUKER, A.P.N.'s credentials?
RENEE GRANDIERI-FLUKER, A.P.N.'s NPI is 1184657702 with credentials A.P.N.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology