2026 NPPES data Family Nurse Practitioner NPI 1821583576 FNP
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Rex Chan, FNP

Family Nurse Practitioner in Folsom, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 451 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
0%
generic claims · 53% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.4/100
▼ 11 pts below national avg 83.1 · Mid-tier
Industry payments
$4.2K
36 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Rex Chan, FNP reported a CMS MIPS final score of 72.4/100 - below the 83.1 national average - and filed 1,743 Medicare Part D claims in 2023.

72.4/100
MIPS score · -11 vs avg
2K
Part D claims, 2023
0%
generic prescribing
$4.2K
industry payments (Sunshine Act)

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.

Rex Chan, FNP's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

72 10th percentile higher than 10% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Where Rex Chan, FNP sits

This provider among family nurse practitioner peers

Across the 27,154 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Rex Chan, FNP writes more Part D claims than 78% of them and scores higher on MIPS quality than 10% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume, percentile in specialtyMIPS quality, percentile
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Rex Chan, FNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Rex Chan, FNP?

Below national average

NPI registry status

Active

Issued 06/26/2018

NPI 1821583576

Primary specialty

Family Nurse Practitioner

High-volume

210,832 US NPIs in this specialty

Medicare Part D claims

1,743 43% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

72.4/100 10.7 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

How Family Nurse Practitioner compares to other specialties among California providers

California providers
Behavior Technician17.3%Marriage & Family Therapist5.5%Student in an Organized Heal…5%Mental Health Counselor3.9%Pharmacist3.5%Clinical Social Worker3.1%Family Nurse Practitioner1.6%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Rex Chan, FNP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
72.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) - 72.4/100 vs national avg 83.1

0%100%National avg83%72.4%
MIPS final score (Family Nurse Practitioner) - 72.4/100 vs national avg 83.1
How MIPS and board certification work

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).

Rex Chan, FNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP credentials at 1631 CREEKSIDE DR STE 102, Folsom, CA, 95630, with a listed phone of (916) 250-0377. NPI 1821583576 was issued on 06/26/2018.

Medicare Part D records for calendar year 2023 show 1,743 prescription claims written by this provider, covering 451 Medicare beneficiaries and totaling roughly $4.1 million in drug spend, split 53% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 72.4/100 for the 2023 performance year (Quality 62.8, Cost 34.2), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 210,832 enrolled providers across 56 states and an average of 1,222 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

1631 CREEKSIDE DR STE 102
Folsom, CA 95630

Provider Details

NPI 1821583576
Specialty Family Nurse Practitioner
Credentials FNP
Gender Male
NPI Issued 06/26/2018

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

72.3661
Final Score
Avg: 83.1
62.8229
Quality
34.2307
Cost
93
Promoting Interoperability

Reporting: Group practice

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Rex Chan, FNP. Source: openpaymentsdata.cms.gov.

Total received

$4.2K

Largest payer

ACCORD HEALTHCARE, INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - California MBC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Rex Chan, FNP. To verify Rex Chan, FNP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Rex Chan, FNP - brand share 53.0%
Family Nurse Practitioner average

53% brand-name claims vs 0% generic, on 1,743 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

1,743
Total Claims
$4.1M
Total Drug Cost
451
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,194
Total Day Supply
61,249
Brand vs Generic
53% brand / 0% generic
Brand Drug Cost
$4.1M
Antibiotic Claims
298

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.47
Gender Split
20% female / 80% male
Age Distribution
<65: 35, 65-74: 204, 75-84: 155, 85+: 57

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Rex Chan, FNP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Orgovyx
Relugolix
478
Tamsulosin Hcl
263
Myrbetriq
Mirabegron
223
Xtandi
Enzalutamide
163
Cephalexin
105
Finasteride
100
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
77
Ciprofloxacin Hcl
76
Methenamine Hippurate
57
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
29

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Nurse Practitioner Overview

How Rex Chan, FNP fits within the Family Nurse Practitioner landscape nationally.

210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Rex Chan, FNP's 1,743 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Chan.

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Rex Chan, FNP's specialty?
Rex Chan, FNP specializes in Family Nurse Practitioner and practices in Folsom, California. Credentials: FNP.
How much does Rex Chan, FNP prescribe under Medicare Part D?
In 2023, Rex Chan, FNP wrote 1,743 Medicare Part D claims totaling $4.1M in drug costs for 451 beneficiaries.
What is Rex Chan, FNP's Medicare quality score?
Rex Chan, FNP has a CMS MIPS Final Score of 72.4/100 (Quality: 62.8, Cost: 34.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rex Chan, FNP located?
Rex Chan, FNP is located at 1631 CREEKSIDE DR STE 102, Folsom, CA, 95630. Phone: (916) 250-0377.
What is Rex Chan, FNP's NPI number?
Rex Chan, FNP's National Provider Identifier (NPI) is 1821583576, issued on 06/26/2018.
Does Rex Chan, FNP prescribe more brand-name or generic drugs?
Rex Chan, FNP's prescribing is 53% brand-name and 0% generic drugs by claim count, with $4.1M in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 210,832 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Rex Chan, FNP prescribe most often?
Based on 2023 Medicare Part D data, Rex Chan, FNP's most frequently prescribed drugs include Orgovyx, Tamsulosin Hcl, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rex Chan, FNP accept Medicare?
Rex Chan, FNP appears in CMS Medicare data with 1,743 Part D claims and 451 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rex Chan, FNP's credentials?
Rex Chan, FNP's NPI is 1821583576 with credentials FNP. 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

View source datasets and methodology notes
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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.