2026 NPPES data Family Nurse Practitioner NPI 1487060406 FNP-BC
Verify on CMS →

Sandra Esmond, FNP-BC

Family Nurse Practitioner in Crowley, Texas. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 209,817 in Family Nurse Practitioner, 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
73
Medicare Part D claims · 55 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
86.3/100
▲ 3 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Sandra Esmond, FNP-BC reported a CMS MIPS final score of 86.3/100 — above the 83.1 national average — and filed 73 Medicare Part D claims in 2023.

86.3/100
MIPS score · +3 vs avg
73
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.

Sandra Esmond, FNP-BC's MIPS score vs every scored U.S. clinician

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

86 Top 48% higher than 52% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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 Sandra Esmond, FNP-BC sits

This provider among family nurse practitioner peers

Across the 27,154 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Sandra Esmond, FNP-BC writes more Part D claims than 16% of them and scores higher on MIPS quality than 49% — placing this provider in the lower-volume, lower-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 quality0255075100022.344.666.989.3Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 42Sandra Esmond, FNP-BC — Part D claim volume — percentile in specialty: 16 · MIPS quality — percentile: 49
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Sandra Esmond, FNP-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Sandra Esmond, FNP-BC?

High performer (top quartile)

NPI registry status

Active

Issued 07/10/2014

NPI 1487060406

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

73 94% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

86.3/100 3.2 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Family Nurse Practitioner compares to other specialties among Texas providers

Texas providers

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

Behavior Technician — 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program — 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner — 4.5%Family Nurse Practitioner4.5%Professional Counselor — 4.4%Professional Counselor4.4%Pharmacist — 4.4%Pharmacist4.4%Speech-Language Pathologist — 3.9%Speech-Language Pathologist3.9%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance — MIPS

Sandra Esmond, FNP-BC's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
86.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 86.3/100 vs national avg 83.1

0%100%National avg83%86.3%
MIPS final score (Family Nurse Practitioner) — 86.3/100 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).

Sandra Esmond, FNP-BC appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP-BC credentials at 825 S CROWLEY RD, Crowley, TX, 76036, with a listed phone of (817) 297-2281. NPI 1487060406 was issued on 07/10/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Esmond 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 73 prescription claims written by this provider, covering 55 Medicare beneficiaries and totaling roughly $1K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.3/100 for the 2023 performance year (Quality 79.4, Cost 92.1), compared with the national average of 83.1.

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

825 S CROWLEY RD
Crowley, TX 76036

Provider Details

NPI 1487060406
Specialty Family Nurse Practitioner
Credentials FNP-BC
Gender Female
NPI Issued 07/10/2014

CMS Quality Score (MIPS)

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

86.2941
Final Score
Avg: 83.1
79.3623
Quality
92.1495
Cost

Reporting: Group practice

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 Sandra Esmond, FNP-BC. To verify Sandra Esmond, FNP-BC'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.

73
Total Claims
$1K
Total Drug Cost
55
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
85
Total Day Supply
1,119
Generic Drug Cost
$660
Antibiotic Claims
28

Patient Demographics

Average Patient Age
67.5 years
Avg HCC Risk Score
1.00
Gender Split
69% female / 31% male
Age Distribution
<65: 14, 65-74: 29, 75-84: N/A, 85+: N/A

Family Nurse Practitioner Overview

How Sandra Esmond, FNP-BC 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

Sandra Esmond, FNP-BC's 73 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Texas

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

Compare Family Nurse Practitioner 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 Texas medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Nurse Practitioner 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 Sandra Esmond, FNP-BC's specialty?
Sandra Esmond, FNP-BC specializes in Family Nurse Practitioner and practices in Crowley, Texas. Credentials: FNP-BC.
How much does Sandra Esmond, FNP-BC prescribe under Medicare Part D?
In 2023, Sandra Esmond, FNP-BC wrote 73 Medicare Part D claims totaling $1K in drug costs for 55 beneficiaries.
What is Sandra Esmond, FNP-BC's Medicare quality score?
Sandra Esmond, FNP-BC has a CMS MIPS Final Score of 86.3/100 (Quality: 79.4, Cost: 92.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sandra Esmond, FNP-BC located?
Sandra Esmond, FNP-BC is located at 825 S CROWLEY RD, Crowley, TX, 76036. Phone: (817) 297-2281.
What is Sandra Esmond, FNP-BC's NPI number?
Sandra Esmond, FNP-BC's National Provider Identifier (NPI) is 1487060406, issued on 07/10/2014.
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.
Does Sandra Esmond, FNP-BC accept Medicare?
Sandra Esmond, FNP-BC appears in CMS Medicare data with 73 Part D claims and 55 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sandra Esmond, FNP-BC's credentials?
Sandra Esmond, FNP-BC's NPI is 1487060406 with credentials FNP-BC. 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.