2026 NPPES data Family Nurse Practitioner NPI 1699236414
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ROSARIO GARCIA

Family Nurse Practitioner in ELMHURST, Illinois. 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
171
Medicare Part D claims · 80 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
53%
generic claims · 47% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

ROSARIO GARCIA filed 171 Medicare Part D claims in 2023 as a Family Nurse Practitioner in ELMHURST, Illinois, prescribing 53% generic.

171
Part D claims, 2023
53%
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.

ROSARIO GARCIA's Medicare Part D volume vs every U.S. prescriber

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

171 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 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. 2,000–2,200: 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 ROSARIO GARCIA?

Quality data not reported

NPI registry status

Active

Issued 03/26/2019

NPI 1699236414

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

171 86% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in Illinois

How Family Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Family Nurse Practitioner share within Illinois

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Nurse Practitioner) — 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).

ROSARIO GARCIA appears in the CMS NPPES registry as a Family Nurse Practitioner provider at 1200 YORK ST, ELMHURST, IL, 60126, with a listed phone of (630) 532-5821. NPI 1699236414 was issued on 03/26/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARCIA 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 171 prescription claims written by this provider, covering 80 Medicare beneficiaries and totaling roughly $121K in drug spend, split 47% brand-name and 53% generic by claim count. 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.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 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

1200 YORK ST
ELMHURST, IL 60126

Provider Details

NPI 1699236414
Specialty Family Nurse Practitioner
Gender Female
NPI Issued 03/26/2019

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to ROSARIO GARCIA. To verify ROSARIO GARCIA's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

ROSARIO GARCIA — brand share 47.0%
Specialty average (est.)

47% brand-name claims vs 53% generic, on 171 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.

171
Total Claims
$121K
Total Drug Cost
80
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
420
Total Day Supply
12,528
Brand vs Generic
47% brand / 53% generic
Brand Drug Cost
$99K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.63
Gender Split
54% female / 46% male

Top Prescribed Drugs (Medicare Part D)

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

What ROSARIO GARCIA 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
Ozempic
Semaglutide
14
Levothyroxine Sodium
13
Trulicity
Dulaglutide
11

* 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 ROSARIO GARCIA fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

ROSARIO GARCIA's 171 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Illinois

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

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

Frequently Asked Questions

What is ROSARIO GARCIA's specialty?
ROSARIO GARCIA specializes in Family Nurse Practitioner and practices in ELMHURST, Illinois.
How much does ROSARIO GARCIA prescribe under Medicare Part D?
In 2023, ROSARIO GARCIA wrote 171 Medicare Part D claims totaling $121K in drug costs for 80 beneficiaries.
Where is ROSARIO GARCIA located?
ROSARIO GARCIA is located at 1200 YORK ST, ELMHURST, IL, 60126. Phone: (630) 532-5821.
What is ROSARIO GARCIA's NPI number?
ROSARIO GARCIA's National Provider Identifier (NPI) is 1699236414, issued on 03/26/2019.
Does ROSARIO GARCIA prescribe more brand-name or generic drugs?
ROSARIO GARCIA's prescribing is 47% brand-name and 53% generic drugs by claim count, with $99K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 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 ROSARIO GARCIA prescribe most often?
Based on 2023 Medicare Part D data, ROSARIO GARCIA's most frequently prescribed drugs include Ozempic, Levothyroxine Sodium, Trulicity. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROSARIO GARCIA accept Medicare?
ROSARIO GARCIA appears in CMS Medicare data with 171 Part D claims and 80 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROSARIO GARCIA's credentials?
ROSARIO GARCIA's NPI is 1699236414. 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