NPI registry status
Active
2026 NPPES data High-Risk Obstetric Registered Nurse NPI 1255308300 FNP
Verify on CMS → Rosa Garcia, FNP
High-Risk Obstetric Registered Nurse in Nogales, Arizona.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 169 in High-Risk Obstetric Registered Nurse, 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
347
Medicare Part D claims · 152 beneficiaries · High-Risk Obstetric Registered Nurse avg: 373
Generic prescribing
57%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.4/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$33.76
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Rosa Garcia, FNP reported a CMS MIPS final score of 90.4/100 - above the 83.1 national average - and filed 347 Medicare Part D claims in 2023.
- 90.4/100
- MIPS score · +7 vs avg
- 347
- Part D claims, 2023
- 57%
- generic prescribing
- $33.76
- 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.
Rosa Garcia, FNP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 40% higher than 60% of 477,587 scored providers
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
What does the federal data show about Rosa Garcia, FNP?
High performer (top quartile)Primary specialty
High-Risk Obstetric Registered Nurse
Medicare Part D claims
347 7% vs specialty avg
MIPS final score
90.4/100 7.3 pts vs avg
Specialty distribution in Arizona
How High-Risk Obstetric Registered Nurse compares to other specialties among Arizona providers
Medicare quality performance, MIPS
Rosa Garcia, FNP's 2023 MIPS final score plotted against the High-Risk Obstetric Registered Nurse national average
- MIPS Final Score
- 90.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (High-Risk Obstetric Registered Nurse) - 90.4/100 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).
Rosa Garcia, FNP appears in the CMS NPPES registry as a High-Risk Obstetric Registered Nurse provider holding FNP credentials at 1852 N MASTICK WAY, Nogales, AZ, 85621, with a listed phone of (520) 281-1550. NPI 1255308300 was issued on 03/07/2006.
Medicare Part D records for calendar year 2023 show 347 prescription claims written by this provider, covering 152 Medicare beneficiaries and totaling roughly $128K in drug spend, split 43% brand-name and 57% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.4/100 for the 2023 performance year, compared with the national average of 83.1.
High-Risk Obstetric Registered Nurse is a narrow specialty nationwide, with 169 enrolled providers across 30 states and an average of 373 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 | 1255308300 |
|---|---|
| Specialty | High-Risk Obstetric Registered Nurse |
| Credentials | FNP |
| Gender | Female |
| NPI Issued | 03/07/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.3733
Final Score
Avg: 83.1
69.7443
Cost
99
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 Rosa Garcia, FNP. Source: openpaymentsdata.cms.gov.
Total received
$34
Largest payer
Medtronic, 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.
Brand vs generic prescribing mix · Above average
Rosa Garcia, FNP - brand share 43.0%
High-Risk Obstetric Registered Nurse average
43% brand-name claims vs 57% generic, on 347 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.
347
Total Claims
$128K
Total Drug Cost
152
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 760
- Total Day Supply
- 22,335
- Brand vs Generic
- 43% brand / 57% generic
- Brand Drug Cost
- $119K
- Generic Drug Cost
- $8K
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 73.3 years
- Avg HCC Risk Score
- 1.65
- Gender Split
- 44% female / 56% male
- Age Distribution
- <65: 19, 65-74: 62, 75-84: 54, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Rosa Garcia, FNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Myrbetriq
Myrbetriq
104 claims
- Tamsulosin Hcl
Tamsulosin Hcl
62 claims
- Oxybutynin Chlorid… 34
Oxybutynin Chloride Er
34 claims
- Finasteride 19
Finasteride
19 claims
- Gemtesa 19
Gemtesa
19 claims
| Drug | Claims |
|---|---|
| Myrbetriq Mirabegron | 104 |
| Tamsulosin Hcl | 62 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 34 |
| Finasteride | 19 |
| Gemtesa Vibegron | 19 |
| Premarin "Estrogens | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
High-Risk Obstetric Registered Nurse Overview
How Rosa Garcia, FNP fits within the High-Risk Obstetric Registered Nurse landscape nationally.
169
High-Risk Obstetric Registered Nurse Providers in US
30
States with High-Risk Obstetric Registered Nurse
373
Avg Claims per Provider
Rosa Garcia, FNP's 347 claims are below the specialty average of 373.
Nearby High-Risk Obstetric Registered Nurse Providers in Arizona
Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as Garcia.
Katherine Anderson
Phoenix, AZ
Dr. Jeri Bjarko
RN
Mesa, AZ
Dr. Victoria Burton
RN
Phoenix, AZ
Dr. Catherine Canter
FNP-C
Phoenix, AZ
Dr. Doris Cleveland
RN
Phoenix, AZ
Compare High-Risk Obstetric Registered Nurse 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 Arizona medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby High-Risk Obstetric Registered Nurse 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
What is Rosa Garcia, FNP's specialty? ▼
Rosa Garcia, FNP specializes in High-Risk Obstetric Registered Nurse and practices in Nogales, Arizona. Credentials: FNP.
How much does Rosa Garcia, FNP prescribe under Medicare Part D? ▼
In 2023, Rosa Garcia, FNP wrote 347 Medicare Part D claims totaling $128K in drug costs for 152 beneficiaries.
What is Rosa Garcia, FNP's Medicare quality score? ▼
Rosa Garcia, FNP has a CMS MIPS Final Score of 90.4/100, Cost: 69.7. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rosa Garcia, FNP located? ▼
Rosa Garcia, FNP is located at 1852 N MASTICK WAY, Nogales, AZ, 85621. Phone: (520) 281-1550.
What is Rosa Garcia, FNP's NPI number? ▼
Rosa Garcia, FNP's National Provider Identifier (NPI) is 1255308300, issued on 03/07/2006.
Does Rosa Garcia, FNP prescribe more brand-name or generic drugs? ▼
Rosa Garcia, FNP's prescribing is 43% brand-name and 57% generic drugs by claim count, with $119K in brand drug costs.
How many High-Risk Obstetric Registered Nurse providers are there in the US? ▼
There are 169 High-Risk Obstetric Registered Nurse providers across 30 states in the US. The average High-Risk Obstetric Registered Nurse provider writes 373 Medicare Part D claims per year.
What drugs does Rosa Garcia, FNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Rosa Garcia, FNP's most frequently prescribed drugs include Myrbetriq, Tamsulosin Hcl, Oxybutynin Chloride Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rosa Garcia, FNP accept Medicare? ▼
Rosa Garcia, FNP appears in CMS Medicare data with 347 Part D claims and 152 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rosa Garcia, FNP's credentials? ▼
Rosa Garcia, FNP's NPI is 1255308300 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 PlainDoctor editorial team.
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.