Robert Estreller, APN
Clinical Nurse Specialist in Las Vegas, Nevada.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,715 in Clinical Nurse Specialist, 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Robert Estreller, APN filed 498 Medicare Part D claims in 2023 as a Clinical Nurse Specialist in Las Vegas, Nevada, prescribing 90% generic.
- 498
- Part D claims, 2023
- 90%
- generic prescribing
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.
Robert Estreller, APN's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
498 Top 38% higher than 62% of 1,370,886 prescribers
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 Robert Estreller, APN?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Nevada
How Clinical Nurse Specialist compares to other specialties among Nevada providers
Clinical Nurse Specialist ranks #270 among Nevada's specialties (0% of in-state providers)
Each bar is a specialty's share of the Nevada provider total, by primary NUCC taxonomy. The highlighted bar is Clinical Nurse Specialist; the long tail of smaller specialties is omitted for legibility.
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Clinical Nurse Specialist. Verify directly:
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).
Robert Estreller, APN appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding APN credentials at 888 S RANCHO DR, Las Vegas, NV, 89106, with a listed phone of (702) 877-8600. NPI 1912164179 was issued on 05/16/2008.
Medicare Part D records for calendar year 2023 show 498 prescription claims written by this provider, covering 256 Medicare beneficiaries and totaling roughly $6K in drug spend, split 10% brand-name and 90% generic by claim count.
Clinical Nurse Specialist is a narrow specialty nationwide, with 1,715 enrolled providers across 49 states and an average of 953 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
Provider Details
| NPI | 1912164179 |
|---|---|
| Specialty | Clinical Nurse Specialist |
| Credentials | APN |
| Gender | Male |
| NPI Issued | 05/16/2008 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Robert Estreller, APN's current license status, disciplinary history, and board certifications with the Nevada State Board of Medical Examiners in Nevada before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1912164179 is the unique 10-digit identifier CMS uses to link Estreller across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
Hospital and facility affiliations
Facilities where Robert Estreller, APN 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
10% brand-name claims vs 90% generic, on 498 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.
Prescribing Breakdown
- 30-Day Fills
- 580
- Total Day Supply
- 9,274
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $4K
- Antibiotic Claims
- 121
Patient Demographics
- Average Patient Age
- 71.7 years
- Avg HCC Risk Score
- 0.95
- Gender Split
- 63% female / 38% male
- Age Distribution
- <65: 15, 65-74: 155, 75-84: 75, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Robert Estreller, APN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
59 claims
- Methylprednisolone
Methylprednisolone
48 claims
- Fluticasone Propio…
Fluticasone Propionate
45 claims
- Azithromycin
Azithromycin
41 claims
- Ibuprofen
Ibuprofen
36 claims
- Ipratropium Bromide
Ipratropium Bromide
31 claims
- Amoxicillin-Clavul… 22
Amoxicillin-Clavulanate Potass
22 claims
- Ciprofloxacin Hcl 21
Ciprofloxacin Hcl
21 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 59 |
| Methylprednisolone | 48 |
| Fluticasone Propionate | 45 |
| Azithromycin | 41 |
| Ibuprofen | 36 |
| Ipratropium Bromide | 31 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 22 |
| Ciprofloxacin Hcl | 21 |
| Mupirocin | 19 |
| Amoxicillin | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Clinical Nurse Specialist Overview
How Robert Estreller, APN fits within the Clinical Nurse Specialist landscape nationally.
Robert Estreller, APN's 498 claims are below the specialty average of 953.
Nearby Clinical Nurse Specialist Providers in Nevada
Other clinicians with the same primary specialty enrolled in Nevada, drawn from the same CMS NPPES roster as Estreller.
Compare Clinical Nurse Specialist 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 Nevada medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Clinical Nurse Specialist 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.
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Frequently Asked Questions
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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.
- 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