2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1528515533 PMHNP-BC
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SARAH FORMICA, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner in MIDLOTHIAN, Virginia. 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
599
Medicare Part D claims · 57 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.0K
53 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SARAH FORMICA, PMHNP-BC filed 599 Medicare Part D claims in 2023 as a Psychiatric/Mental Health Nurse Practitioner in MIDLOTHIAN, Virginia, prescribing 90% generic.

599
Part D claims, 2023
90%
generic prescribing
$1.0K
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.

SARAH FORMICA, PMHNP-BC's Medicare Part D volume vs every U.S. prescriber

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

599 Top 34% higher than 66% 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%). This entry sits in this band. 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 SARAH FORMICA, PMHNP-BC?

Quality data not reported

NPI registry status

Active

Issued 09/07/2016

NPI 1528515533

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

39,953 US NPIs in this specialty

Medicare Part D claims

599 35% vs specialty avg

2023 prescription claims

Specialty avg: 927

Specialty distribution in Virginia

How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Virginia providers

Virginia providers

Psychiatric/Mental Health Nurse Practitioner share within Virginia

1. Psychiatric/Mental Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Nurse Practitioner share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Psychiatric/Mental Health Nurse Practitioner (ABMS / AOA reference)

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

Est. board-certified rate (Psychiatric/Mental Health Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Psychiatric/Mental Health 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).

SARAH FORMICA, PMHNP-BC appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider holding PMHNP-BC credentials at 2808 FOX CHASE LN, MIDLOTHIAN, VA, 23112, with a listed phone of (804) 303-9622. NPI 1528515533 was issued on 09/07/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FORMICA 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 599 prescription claims written by this provider, covering 57 Medicare beneficiaries and totaling roughly $168K in drug spend, split 10% brand-name and 90% 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.

Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 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

2808 FOX CHASE LN
MIDLOTHIAN, VA 23112

Provider Details

NPI 1528515533
Specialty Psychiatric/Mental Health Nurse Practitioner
Credentials PMHNP-BC
Gender Female
NPI Issued 09/07/2016

Hospital and facility affiliations

Facilities where SARAH FORMICA, PMHNP-BC 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.

ZOE THERAPY SERVICES, LLC
MIDLOTHIAN, VA

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 SARAH FORMICA, PMHNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

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.

Brand vs generic prescribing mix · Typical

SARAH FORMICA, PMHNP-BC — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 599 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.

599
Total Claims
$168K
Total Drug Cost
57
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,156
Total Day Supply
34,445
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$147K
Generic Drug Cost
$21K

Patient Demographics

Average Patient Age
66.6 years
Avg HCC Risk Score
0.99
Gender Split
75% female / 25% male

Top Prescribed Drugs (Medicare Part D)

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

What SARAH FORMICA, PMHNP-BC 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
Escitalopram Oxalate
67
Trazodone Hcl
48
Lamotrigine
42
Venlafaxine Hcl Er
Venlafaxine Hcl
37
Buspirone Hcl
36
Bupropion Xl
Bupropion Hcl
33
Mirtazapine
26
Sertraline Hcl
25
Fluoxetine Hcl
22
Hydroxyzine Pamoate
22

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

Psychiatric/Mental Health Nurse Practitioner Overview

How SARAH FORMICA, PMHNP-BC fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.

39,953
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider

SARAH FORMICA, PMHNP-BC's 599 claims are below the specialty average of 927.

Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Virginia

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

Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is SARAH FORMICA, PMHNP-BC's specialty?
SARAH FORMICA, PMHNP-BC specializes in Psychiatric/Mental Health Nurse Practitioner and practices in MIDLOTHIAN, Virginia. Credentials: PMHNP-BC.
How much does SARAH FORMICA, PMHNP-BC prescribe under Medicare Part D?
In 2023, SARAH FORMICA, PMHNP-BC wrote 599 Medicare Part D claims totaling $168K in drug costs for 57 beneficiaries.
Where is SARAH FORMICA, PMHNP-BC located?
SARAH FORMICA, PMHNP-BC is located at 2808 FOX CHASE LN, MIDLOTHIAN, VA, 23112. Phone: (804) 303-9622.
What is SARAH FORMICA, PMHNP-BC's NPI number?
SARAH FORMICA, PMHNP-BC's National Provider Identifier (NPI) is 1528515533, issued on 09/07/2016.
Does SARAH FORMICA, PMHNP-BC prescribe more brand-name or generic drugs?
SARAH FORMICA, PMHNP-BC's prescribing is 10% brand-name and 90% generic drugs by claim count, with $147K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US?
There are 39,953 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does SARAH FORMICA, PMHNP-BC prescribe most often?
Based on 2023 Medicare Part D data, SARAH FORMICA, PMHNP-BC's most frequently prescribed drugs include Escitalopram Oxalate, Trazodone Hcl, Lamotrigine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SARAH FORMICA, PMHNP-BC accept Medicare?
SARAH FORMICA, PMHNP-BC appears in CMS Medicare data with 599 Part D claims and 57 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SARAH FORMICA, PMHNP-BC's credentials?
SARAH FORMICA, PMHNP-BC's NPI is 1528515533 with credentials PMHNP-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.
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