2026 NPPES data Family Nurse Practitioner NPI 1821768219 NURSE PRACTITIONER
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SHAYNA PAULO, NURSE PRACTITIONER

Family Nurse Practitioner in DAYTONA BEACH, Florida. 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
554
Medicare Part D claims · 209 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
66.9924/100
▼ 16 pts below national avg 83.1 · [object Object]

What the federal data shows

SHAYNA PAULO, NURSE PRACTITIONER reported a CMS MIPS final score of 66.9924/100 — below the 83.1 national average — and filed 554 Medicare Part D claims in 2023.

66.9924/100
MIPS score · -16 vs avg
554
Part D claims, 2023
90%
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.

SHAYNA PAULO, NURSE PRACTITIONER's MIPS score vs every scored U.S. clinician

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

67 7th percentile higher than 7% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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

What does the federal data show about SHAYNA PAULO, NURSE PRACTITIONER?

Below national average

NPI registry status

Active

Issued 09/16/2021

NPI 1821768219

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

554 55% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

66.9924/100 16.10759999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Florida

How Family Nurse Practitioner compares to other specialties among Florida providers

Florida providers

Family Nurse Practitioner share within Florida

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

Medicare quality performance — MIPS

SHAYNA PAULO, NURSE PRACTITIONER's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
66.9924/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 66.9924/100 vs national avg 83.1

0%100%National avg83%67%
MIPS final score (Family Nurse Practitioner) — 66.9924/100 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).

SHAYNA PAULO, NURSE PRACTITIONER appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding NURSE PRACTITIONER credentials at 301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL, 32117, with a listed phone of (386) 341-7795. NPI 1821768219 was issued on 09/16/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PAULO 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 554 prescription claims written by this provider, covering 209 Medicare beneficiaries and totaling roughly $65K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 66.9924/100 for the 2023 performance year (Quality 67.2192, Cost 47.7555), 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

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Provider Details

NPI 1821768219
Specialty Family Nurse Practitioner
Credentials NURSE PRACTITIONER
Gender Female
NPI Issued 09/16/2021

CMS Quality Score (MIPS)

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

66.9924
Final Score
Avg: 83.1
67.2192
Quality
47.7555
Cost
100
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to SHAYNA PAULO, NURSE PRACTITIONER. To verify SHAYNA PAULO, NURSE PRACTITIONER's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

SHAYNA PAULO, NURSE PRACTITIONER — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 554 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.

554
Total Claims
$65K
Total Drug Cost
209
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,144
Total Day Supply
33,275
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$49K
Generic Drug Cost
$15K

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.60
Gender Split
66% female / 34% male
Age Distribution
<65: 31, 65-74: 84, 75-84: 74, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

What SHAYNA PAULO, NURSE PRACTITIONER 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
Pantoprazole Sodium
198
Famotidine
89
Diphenoxylate-Atropine
Diphenoxylate Hcl/Atropine
62
Amitriptyline Hcl
26
Lactulose
18
Movantik
Naloxegol Oxalate
16
Ondansetron Hcl
14
Sucralfate
14
Dicyclomine Hcl
13
Linzess
Linaclotide
12

* 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 SHAYNA PAULO, NURSE PRACTITIONER 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

SHAYNA PAULO, NURSE PRACTITIONER's 554 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Florida

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

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

Frequently Asked Questions

What is SHAYNA PAULO, NURSE PRACTITIONER's specialty?
SHAYNA PAULO, NURSE PRACTITIONER specializes in Family Nurse Practitioner and practices in DAYTONA BEACH, Florida. Credentials: NURSE PRACTITIONER.
How much does SHAYNA PAULO, NURSE PRACTITIONER prescribe under Medicare Part D?
In 2023, SHAYNA PAULO, NURSE PRACTITIONER wrote 554 Medicare Part D claims totaling $65K in drug costs for 209 beneficiaries.
What is SHAYNA PAULO, NURSE PRACTITIONER's Medicare quality score?
SHAYNA PAULO, NURSE PRACTITIONER has a CMS MIPS Final Score of 66.9924/100 (Quality: 67.2192, Cost: 47.7555). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHAYNA PAULO, NURSE PRACTITIONER located?
SHAYNA PAULO, NURSE PRACTITIONER is located at 301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL, 32117. Phone: (386) 341-7795.
What is SHAYNA PAULO, NURSE PRACTITIONER's NPI number?
SHAYNA PAULO, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1821768219, issued on 09/16/2021.
Does SHAYNA PAULO, NURSE PRACTITIONER prescribe more brand-name or generic drugs?
SHAYNA PAULO, NURSE PRACTITIONER's prescribing is 10% brand-name and 90% generic drugs by claim count, with $49K 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 SHAYNA PAULO, NURSE PRACTITIONER prescribe most often?
Based on 2023 Medicare Part D data, SHAYNA PAULO, NURSE PRACTITIONER's most frequently prescribed drugs include Pantoprazole Sodium, Famotidine, Diphenoxylate-Atropine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHAYNA PAULO, NURSE PRACTITIONER accept Medicare?
SHAYNA PAULO, NURSE PRACTITIONER appears in CMS Medicare data with 554 Part D claims and 209 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHAYNA PAULO, NURSE PRACTITIONER's credentials?
SHAYNA PAULO, NURSE PRACTITIONER's NPI is 1821768219 with credentials NURSE PRACTITIONER. 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