2026 NPPES data Registered Nurse NPI 1174811046 NP
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Rose Chang Hull, NP

Registered Nurse in Fresno, California. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 175,652 in 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
4K
Medicare Part D claims · 359 beneficiaries · Registered Nurse avg: 1K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.1/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$252.99
13 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Rose Chang Hull, NP reported a CMS MIPS final score of 97.1/100 - above the 83.1 national average - and filed 3,721 Medicare Part D claims in 2023.

97.1/100
MIPS score · +14 vs avg
4K
Part D claims, 2023
88%
generic prescribing
$252.99
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.

Rose Chang Hull, NP's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

97 Top 15% higher than 85% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Where Rose Chang Hull, NP sits

This provider among registered nurse peers

Across the 3,327 registered nurse providers who report both Medicare Part D prescribing and a MIPS quality score, Rose Chang Hull, NP writes more Part D claims than 94% of them and scores higher on MIPS quality than 85% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 20Rose Chang Hull, NP-Part D claim volume, percentile in specialty: 94 · MIPS quality, percentile: 85
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one registered nurse peer from a representative sample of 60; the gold marker is Rose Chang Hull, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Rose Chang Hull, NP?

High performer (top quartile)

NPI registry status

Active

Issued 07/13/2011

NPI 1174811046

Primary specialty

Registered Nurse

High-volume

175,652 US NPIs in this specialty

Medicare Part D claims

3,721 272% vs specialty avg

2023 prescription claims

Specialty avg: 1,000

MIPS final score

97.1/100 14 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Registered Nurse compares to other specialties among California providers

California providers

Largest specialties in California (% of in-state providers)

Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Registered Nurse - 1.7%Registered Nurse1.7%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Rose Chang Hull, NP's 2023 MIPS final score plotted against the Registered Nurse national average

High performer (top quartile)
MIPS Final Score
97.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Registered Nurse) - 97.1/100 vs national avg 83.1

0%100%National avg83%97.1%
MIPS final score (Registered Nurse) - 97.1/100 vs national avg 83.1

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).

Rose Chang Hull, NP appears in the CMS NPPES registry as a Registered Nurse provider holding NP credentials at 2823 FRESNO ST, Fresno, CA, 93721, with a listed phone of (559) 499-6439. NPI 1174811046 was issued on 07/13/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Chang Hull 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 3,721 prescription claims written by this provider, covering 359 Medicare beneficiaries and totaling roughly $298K in drug spend, split 11% brand-name and 88% generic by claim count, with an opioid prescribing rate of 2.6%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.1/100 for the 2023 performance year (Quality 84.2), compared with the national average of 83.1.

Registered Nurse is a high-volume specialty nationwide, with 175,652 enrolled providers across 56 states and an average of 1,000 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

2823 FRESNO ST
Fresno, CA 93721

Provider Details

NPI 1174811046
Specialty Registered Nurse
Credentials NP
Gender Female
NPI Issued 07/13/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

97.1217
Final Score
Avg: 83.1
84.2434
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Rose Chang Hull, NP 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.

Adventist Health Physicians Network
Hanford, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 Rose Chang Hull, NP. Source: openpaymentsdata.cms.gov.

Total received

$253

Largest payer

ABBVIE 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.

License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Rose Chang Hull, NP. To verify Rose Chang Hull, NP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Rose Chang Hull, NP - brand share 11.0%
Registered Nurse average

11% brand-name claims vs 88% generic, on 3,721 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.

3,721
Total Claims
$298K
Total Drug Cost
359
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,390
Total Day Supply
243,436
Brand vs Generic
11% brand / 88% generic
Brand Drug Cost
$224K
Generic Drug Cost
$72K
Opioid Claims
98 (2.6% rate)
Antibiotic Claims
84

Patient Demographics

Average Patient Age
73.6 years
Avg HCC Risk Score
1.15
Gender Split
82% female / 18% male
Age Distribution
<65: 30, 65-74: 168, 75-84: 122, 85+: 39

Top Prescribed Drugs (Medicare Part D)

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

What Rose Chang Hull, NP 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
Atorvastatin Calcium
307
Levothyroxine Sodium
221
Amlodipine Besylate
210
Losartan Potassium
157
Lisinopril
110
Omeprazole
95
Rosuvastatin Calcium
82
Montelukast Sodium
77
Gabapentin
73
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
69

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

Registered Nurse Overview

How Rose Chang Hull, NP fits within the Registered Nurse landscape nationally.

175,652
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider

Rose Chang Hull, NP's 3,721 claims are above the specialty average of 1,000.

Nearby Registered Nurse Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Chang Hull.

Compare 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 California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby 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.

Frequently Asked Questions

What is Rose Chang Hull, NP's specialty?
Rose Chang Hull, NP specializes in Registered Nurse and practices in Fresno, California. Credentials: NP.
How much does Rose Chang Hull, NP prescribe under Medicare Part D?
In 2023, Rose Chang Hull, NP wrote 3,721 Medicare Part D claims totaling $298K in drug costs for 359 beneficiaries.
What is Rose Chang Hull, NP's Medicare quality score?
Rose Chang Hull, NP has a CMS MIPS Final Score of 97.1/100 (Quality: 84.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rose Chang Hull, NP located?
Rose Chang Hull, NP is located at 2823 FRESNO ST, Fresno, CA, 93721. Phone: (559) 499-6439.
What is Rose Chang Hull, NP's NPI number?
Rose Chang Hull, NP's National Provider Identifier (NPI) is 1174811046, issued on 07/13/2011.
Does Rose Chang Hull, NP prescribe more brand-name or generic drugs?
Rose Chang Hull, NP's prescribing is 11% brand-name and 88% generic drugs by claim count, with $224K in brand drug costs.
Does Rose Chang Hull, NP prescribe opioids?
Yes, Rose Chang Hull, NP had 98 opioid claims in 2023 with an opioid prescribing rate of 2.6%.
How many Registered Nurse providers are there in the US?
There are 175,652 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does Rose Chang Hull, NP prescribe most often?
Based on 2023 Medicare Part D data, Rose Chang Hull, NP's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rose Chang Hull, NP accept Medicare?
Rose Chang Hull, NP appears in CMS Medicare data with 3,721 Part D claims and 359 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rose Chang Hull, NP's credentials?
Rose Chang Hull, NP's NPI is 1174811046 with credentials NP. 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.
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.