2026 NPPES data Clinical Nurse Specialist NPI 1912164179 APN
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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.

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
498
Medicare Part D claims · 256 beneficiaries · Clinical Nurse Specialist avg: 953
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

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

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 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. 2K+: 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 Robert Estreller, APN?

Quality data not reported

NPI registry status

Active

Issued 05/16/2008

NPI 1912164179

Primary specialty

Clinical Nurse Specialist

Niche

1,715 US NPIs in this specialty

Medicare Part D claims

498 48% vs specialty avg

2023 prescription claims

Specialty avg: 953

Specialty distribution in Nevada

How Clinical Nurse Specialist compares to other specialties among Nevada providers

Nevada providers
Personal Care Attendant - 25.1%Personal Care Attendant25.1%Behavior Technician - 6.3%Behavior Technician6.3%Rehabilitation Practitioner - 5.6%Rehabilitation Practitioner5.6%Behavior Analyst - 4.7%Behavior Analyst4.7%Chore Provider - 4.5%Chore Provider4.5%Mental Health Counselor - 2.6%Mental Health Counselor2.6%Clinical Nurse Specialist - 0%Clinical Nurse Specialist0%
Largest specialties in Nevada (% of in-state providers)

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

888 S RANCHO DR
Las Vegas, NV 89106

Provider Details

NPI 1912164179
Specialty Clinical Nurse Specialist
Credentials APN
Gender Male
NPI Issued 05/16/2008

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.

Urgent Care Nevada LLC
Henderson, 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).

Brand vs generic prescribing mix · Typical

Robert Estreller, APN - brand share 10.0%
Clinical Nurse Specialist average

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.

498
Total Claims
$6K
Total Drug Cost
256
Medicare Beneficiaries

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

1,715
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider

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.

Frequently Asked Questions

What is Robert Estreller, APN's specialty?
Robert Estreller, APN specializes in Clinical Nurse Specialist and practices in Las Vegas, Nevada. Credentials: APN.
How much does Robert Estreller, APN prescribe under Medicare Part D?
In 2023, Robert Estreller, APN wrote 498 Medicare Part D claims totaling $6K in drug costs for 256 beneficiaries.
Where is Robert Estreller, APN located?
Robert Estreller, APN is located at 888 S RANCHO DR, Las Vegas, NV, 89106. Phone: (702) 877-8600.
What is Robert Estreller, APN's NPI number?
Robert Estreller, APN's National Provider Identifier (NPI) is 1912164179, issued on 05/16/2008.
Does Robert Estreller, APN prescribe more brand-name or generic drugs?
Robert Estreller, APN's prescribing is 10% brand-name and 90% generic drugs by claim count, with $2K in brand drug costs.
How many Clinical Nurse Specialist providers are there in the US?
There are 1,715 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does Robert Estreller, APN prescribe most often?
Based on 2023 Medicare Part D data, Robert Estreller, APN's most frequently prescribed drugs include Albuterol Sulfate Hfa, Methylprednisolone, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robert Estreller, APN accept Medicare?
Robert Estreller, APN appears in CMS Medicare data with 498 Part D claims and 256 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robert Estreller, APN's credentials?
Robert Estreller, APN's NPI is 1912164179 with credentials APN. 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.
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 PlainDoctor editorial team.