2026 NPPES data Nurse Practitioner NPI 1306483300 FNP
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Sheena Pacheco, FNP

Nurse Practitioner in Cheyenne, Wyoming.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 89,808 in 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
92
Medicare Part D claims · 55 beneficiaries · Nurse Practitioner avg: 1K
Industry payments
$54.26
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Sheena Pacheco, FNP filed 92 Medicare Part D claims in 2024 as a Nurse Practitioner in Cheyenne, Wyoming.

92
Part D claims, 2024
$54.26
industry payments (Sunshine Act)
≥0th
pct by Part D claim volume (lower-bound band)

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.

Federal trust snapshot

What official records show about Sheena Pacheco, FNP

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1306483300), first enumerated 12/09/2019.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 92 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    Hospital affiliations

    2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $54.26 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1306483300 · Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MEGA · RX-TRACE · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1306483300
  • ENUM-RECENT 2019
  • TAX-MEGA 90K Nurse Practitioner
  • RX-TRACE 92
  • BOOK-THIN 111 in Wyoming
  • PHOTO-ENUM Pallavi Hirani · 2019

Sheena Pacheco, FNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

92 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). This entry sits in this band. 200–400: 188,835 prescribers (13%). Above this entry. 400–600: 95,866 prescribers (7%). Above this entry. 600–800: 60,107 prescribers (4%). Above this entry. 800–1,000: 43,043 prescribers (3%). Above this entry. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

What does the federal data show about Sheena Pacheco, FNP?

Quality data not reported

NPI registry status

Active

Issued 12/09/2019

NPI 1306483300

Primary specialty

Nurse Practitioner

High-volume

89,808 US NPIs in this specialty

Medicare Part D claims

92 92% vs specialty avg

2024 prescription claims

Specialty avg: 1,144

Specialty distribution in Wyoming

How Nurse Practitioner compares to other specialties among Wyoming providers

Wyoming providers
Community Health Worker10.4%Case Manager/Care Coordinator10.4%Clinical Social Worker5.5%Physical Therapist4.9%Pharmacist4.6%Professional Counselor3.6%Nurse Practitioner0.8%
Largest specialties in Wyoming (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Nurse Practitioner. Verify directly:

How MIPS and board certification work

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).

Practice Address

214 E 23RD ST
Cheyenne, WY 82001

Provider Details

NPI 1306483300
Specialty Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 12/09/2019

Hospital and facility affiliations

Facilities where Sheena Pacheco, FNP 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.

Care United Medical Center OF Laramie LLC
Cheyenne, WY
Smart Sports Medicine Clinic PC
Cheyenne, WY

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 Sheena Pacheco, FNP. Source: openpaymentsdata.cms.gov.

Total received

$54

Largest payer

Inspire Medical Systems, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

92
Total Claims
$2K
Total Drug Cost
55
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
185
Total Day Supply
4,773
Generic Drug Cost
$1K
Antibiotic Claims
19

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
0.93
Gender Split
64% female / 36% male

Nurse Practitioner Overview

How Sheena Pacheco, FNP fits within the Nurse Practitioner landscape nationally.

89,808
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,144
Avg Claims per Provider

Sheena Pacheco, FNP's 92 claims are below the specialty average of 1,144.

Nationwide Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Pacheco, both outside Wyoming so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2019)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Nurse Practitioner Providers in Wyoming

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

One of 111 Nurse Practitioner providers enrolled in Wyoming, 5 are shown here.

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

Frequently Asked Questions

What is Sheena Pacheco, FNP's specialty?
Sheena Pacheco, FNP specializes in Nurse Practitioner and practices in Cheyenne, Wyoming. Credentials: FNP.
How much does Sheena Pacheco, FNP prescribe under Medicare Part D?
In 2024, Sheena Pacheco, FNP wrote 92 Medicare Part D claims totaling $2K in drug costs for 55 beneficiaries.
Where is Sheena Pacheco, FNP located?
Sheena Pacheco, FNP is located at 214 E 23RD ST, Cheyenne, WY, 82001. Phone: (307) 996-4516.
What is Sheena Pacheco, FNP's NPI number?
Sheena Pacheco, FNP's National Provider Identifier (NPI) is 1306483300, issued on 12/09/2019.
How many Nurse Practitioner providers are there in the US?
There are 89,808 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,144 Medicare Part D claims per year.
Does Sheena Pacheco, FNP accept Medicare?
Sheena Pacheco, FNP appears in CMS Medicare data with 92 Part D claims and 55 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sheena Pacheco, FNP's credentials?
Sheena Pacheco, FNP's NPI is 1306483300 with credentials FNP. 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.