2026 NPPES data Critical Care Medicine Registered Nurse NPI 1376119248 APRN, AGACNP
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RUTH MELODY HORNADY, APRN, AGACNP

Critical Care Medicine Registered Nurse in ALPINE, 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
300
Medicare Part D claims · 118 beneficiaries · Critical Care Medicine Registered Nurse avg: 752

What the federal data shows

RUTH MELODY HORNADY, APRN, AGACNP filed 300 Medicare Part D claims in 2023 as a Critical Care Medicine Registered Nurse in ALPINE, Texas.

300
Part D claims, 2023

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.

RUTH MELODY HORNADY, APRN, AGACNP's Medicare Part D volume vs every U.S. prescriber

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

300 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 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 RUTH MELODY HORNADY, APRN, AGACNP?

Quality data not reported

NPI registry status

Active

Issued 06/01/2021

NPI 1376119248

Primary specialty

Critical Care Medicine Registered Nurse

Mid-sized

6,529 US NPIs in this specialty

Medicare Part D claims

300 60% vs specialty avg

2023 prescription claims

Specialty avg: 752

Specialty distribution in Texas

How Critical Care Medicine Registered Nurse compares to other specialties among Texas providers

Texas providers

Critical Care Medicine Registered Nurse share within Texas

1. Critical Care Medicine Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine Registered Nurse share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Critical Care Medicine Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Critical Care Medicine Registered Nurse ABMS/AOA estimate

Est. board-certified rate (Critical Care Medicine Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Critical Care Medicine 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).

RUTH MELODY HORNADY, APRN, AGACNP appears in the CMS NPPES registry as a Critical Care Medicine Registered Nurse provider holding APRN, AGACNP credentials at 2600 N, TX-118, ALPINE, TX, 79830, with a listed phone of (432) 837-3447. NPI 1376119248 was issued on 06/01/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HORNADY 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 300 prescription claims written by this provider, covering 118 Medicare beneficiaries and totaling roughly $22K in drug spend. 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.

Critical Care Medicine Registered Nurse is a mid-sized specialty nationwide, with 6,529 enrolled providers across 53 states and an average of 752 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

2600 N, TX-118
ALPINE, TX 79830

Provider Details

NPI 1376119248
Specialty Critical Care Medicine Registered Nurse
Credentials APRN, AGACNP
Gender Female
NPI Issued 06/01/2021

Hospital and facility affiliations

Facilities where RUTH MELODY HORNADY, APRN, AGACNP 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.

BIG BEND HOSPITAL CORPORATION
ALPINE, TX

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

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 RUTH MELODY HORNADY, APRN, AGACNP. To verify RUTH MELODY HORNADY, APRN, AGACNP'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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

300
Total Claims
$22K
Total Drug Cost
118
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
434
Total Day Supply
10,241
Generic Drug Cost
$5K
Antibiotic Claims
59

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.38
Gender Split
64% female / 36% male
Age Distribution
<65: 11, 65-74: 41, 75-84: 46, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Lactulose
21
Levofloxacin
13

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

Critical Care Medicine Registered Nurse Overview

How RUTH MELODY HORNADY, APRN, AGACNP fits within the Critical Care Medicine Registered Nurse landscape nationally.

6,529
Critical Care Medicine Registered Nurse Providers in US
53
States with Critical Care Medicine Registered Nurse
752
Avg Claims per Provider

RUTH MELODY HORNADY, APRN, AGACNP's 300 claims are below the specialty average of 752.

Nearby Critical Care Medicine Registered Nurse Providers in Texas

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

Compare Critical Care Medicine Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is RUTH MELODY HORNADY, APRN, AGACNP's specialty?
RUTH MELODY HORNADY, APRN, AGACNP specializes in Critical Care Medicine Registered Nurse and practices in ALPINE, Texas. Credentials: APRN, AGACNP.
How much does RUTH MELODY HORNADY, APRN, AGACNP prescribe under Medicare Part D?
In 2023, RUTH MELODY HORNADY, APRN, AGACNP wrote 300 Medicare Part D claims totaling $22K in drug costs for 118 beneficiaries.
Where is RUTH MELODY HORNADY, APRN, AGACNP located?
RUTH MELODY HORNADY, APRN, AGACNP is located at 2600 N, TX-118, ALPINE, TX, 79830. Phone: (432) 837-3447.
What is RUTH MELODY HORNADY, APRN, AGACNP's NPI number?
RUTH MELODY HORNADY, APRN, AGACNP's National Provider Identifier (NPI) is 1376119248, issued on 06/01/2021.
How many Critical Care Medicine Registered Nurse providers are there in the US?
There are 6,529 Critical Care Medicine Registered Nurse providers across 53 states in the US. The average Critical Care Medicine Registered Nurse provider writes 752 Medicare Part D claims per year.
What drugs does RUTH MELODY HORNADY, APRN, AGACNP prescribe most often?
Based on 2023 Medicare Part D data, RUTH MELODY HORNADY, APRN, AGACNP's most frequently prescribed drugs include Lactulose, Levofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RUTH MELODY HORNADY, APRN, AGACNP accept Medicare?
RUTH MELODY HORNADY, APRN, AGACNP appears in CMS Medicare data with 300 Part D claims and 118 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RUTH MELODY HORNADY, APRN, AGACNP's credentials?
RUTH MELODY HORNADY, APRN, AGACNP's NPI is 1376119248 with credentials APRN, AGACNP. 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