2026 NPPES data General Practice Registered Nurse NPI 1326330101 FNP
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ROSALBA PUENTE, FNP

General Practice Registered Nurse in WESLACO, Texas. 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
3K
Medicare Part D claims · 726 beneficiaries · General Practice Registered Nurse avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$103.64
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ROSALBA PUENTE, FNP filed 2,938 Medicare Part D claims in 2023 as a General Practice Registered Nurse in WESLACO, Texas, prescribing 88% generic.

3K
Part D claims, 2023
88%
generic prescribing
$103.64
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.

ROSALBA PUENTE, FNP's Medicare Part D volume vs every U.S. prescriber

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

2,938 Top 12% higher than 88% 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%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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 ROSALBA PUENTE, FNP?

Quality data not reported

NPI registry status

Active

Issued 05/11/2011

NPI 1326330101

Primary specialty

General Practice Registered Nurse

Mid-sized

5,478 US NPIs in this specialty

Medicare Part D claims

2,938 148% vs specialty avg

2023 prescription claims

Specialty avg: 1,187

Specialty distribution in Texas

How General Practice Registered Nurse compares to other specialties among Texas providers

Texas providers

General Practice Registered Nurse share within Texas

1. General Practice Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Registered Nurse share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
General Practice Registered Nurse ABMS/AOA estimate

Est. board-certified rate (General Practice Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice Registered Nurse) — 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).

ROSALBA PUENTE, FNP appears in the CMS NPPES registry as a General Practice Registered Nurse provider holding FNP credentials at 1010 JAMES ST STE B, WESLACO, TX, 78596, with a listed phone of (956) 968-1621. NPI 1326330101 was issued on 05/11/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PUENTE 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 2,938 prescription claims written by this provider, covering 726 Medicare beneficiaries and totaling roughly $274K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 0.7%. 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.

General Practice Registered Nurse is a mid-sized specialty nationwide, with 5,478 enrolled providers across 55 states and an average of 1,187 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

1010 JAMES ST STE B
WESLACO, TX 78596

Provider Details

NPI 1326330101
Specialty General Practice Registered Nurse
Credentials FNP
Gender Female
NPI Issued 05/11/2011

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 ROSALBA PUENTE, FNP. Source: openpaymentsdata.cms.gov.

Total received

$104

Largest payer

Lilly USA, LLC

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to ROSALBA PUENTE, FNP. To verify ROSALBA PUENTE, FNP's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ROSALBA PUENTE, FNP — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 2,938 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.

2,938
Total Claims
$274K
Total Drug Cost
726
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,397
Total Day Supply
147,272
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$216K
Generic Drug Cost
$57K
Opioid Claims
21 (0.7% rate)
Antibiotic Claims
306

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.63
Gender Split
72% female / 28% male
Age Distribution
<65: 70, 65-74: 348, 75-84: 246, 85+: 62

Top Prescribed Drugs (Medicare Part D)

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

What ROSALBA PUENTE, 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
Amlodipine Besylate
120
Lisinopril
115
Losartan Potassium
112
Atorvastatin Calcium
108
Prednisone
85
Levothyroxine Sodium
81
Azithromycin
65
Omeprazole
64
Metformin Hcl
58
Trazodone Hcl
54

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

General Practice Registered Nurse Overview

How ROSALBA PUENTE, FNP fits within the General Practice Registered Nurse landscape nationally.

5,478
General Practice Registered Nurse Providers in US
55
States with General Practice Registered Nurse
1,187
Avg Claims per Provider

ROSALBA PUENTE, FNP's 2,938 claims are above the specialty average of 1,187.

Nearby General Practice Registered Nurse Providers in Texas

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

Compare General Practice Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROSALBA PUENTE, FNP's specialty?
ROSALBA PUENTE, FNP specializes in General Practice Registered Nurse and practices in WESLACO, Texas. Credentials: FNP.
How much does ROSALBA PUENTE, FNP prescribe under Medicare Part D?
In 2023, ROSALBA PUENTE, FNP wrote 2,938 Medicare Part D claims totaling $274K in drug costs for 726 beneficiaries.
Where is ROSALBA PUENTE, FNP located?
ROSALBA PUENTE, FNP is located at 1010 JAMES ST STE B, WESLACO, TX, 78596. Phone: (956) 968-1621.
What is ROSALBA PUENTE, FNP's NPI number?
ROSALBA PUENTE, FNP's National Provider Identifier (NPI) is 1326330101, issued on 05/11/2011.
Does ROSALBA PUENTE, FNP prescribe more brand-name or generic drugs?
ROSALBA PUENTE, FNP's prescribing is 12% brand-name and 88% generic drugs by claim count, with $216K in brand drug costs.
Does ROSALBA PUENTE, FNP prescribe opioids?
Yes, ROSALBA PUENTE, FNP had 21 opioid claims in 2023 with an opioid prescribing rate of 0.7%.
How many General Practice Registered Nurse providers are there in the US?
There are 5,478 General Practice Registered Nurse providers across 55 states in the US. The average General Practice Registered Nurse provider writes 1,187 Medicare Part D claims per year.
What drugs does ROSALBA PUENTE, FNP prescribe most often?
Based on 2023 Medicare Part D data, ROSALBA PUENTE, FNP's most frequently prescribed drugs include Amlodipine Besylate, Lisinopril, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROSALBA PUENTE, FNP accept Medicare?
ROSALBA PUENTE, FNP appears in CMS Medicare data with 2,938 Part D claims and 726 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROSALBA PUENTE, FNP's credentials?
ROSALBA PUENTE, FNP's NPI is 1326330101 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

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