2026 NPPES data Family Nurse Practitioner NPI 1235794173
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SHEILANIE CASABAY

Family Nurse Practitioner in VISALIA, California. 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
707
Medicare Part D claims · 138 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
61%
generic claims · 39% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.94/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$913.61
60 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SHEILANIE CASABAY reported a CMS MIPS final score of 91.94/100 — above the 83.1 national average — and filed 707 Medicare Part D claims in 2023.

91.94/100
MIPS score · +9 vs avg
707
Part D claims, 2023
61%
generic prescribing
$913.61
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.

SHEILANIE CASABAY's MIPS score vs every scored U.S. clinician

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

92 Top 37% higher than 63% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 SHEILANIE CASABAY?

High performer (top quartile)

NPI registry status

Active

Issued 05/07/2019

NPI 1235794173

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

707 42% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

91.94/100 8.840000000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Family Nurse Practitioner compares to other specialties among California providers

California providers

Family Nurse Practitioner share within California

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

Medicare quality performance — MIPS

SHEILANIE CASABAY's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
91.94/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 91.94/100 vs national avg 83.1

0%100%National avg83%91.9%
MIPS final score (Family Nurse Practitioner) — 91.94/100 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).

SHEILANIE CASABAY appears in the CMS NPPES registry as a Family Nurse Practitioner provider at 5410 W CYPRESS AVE STE 102, VISALIA, CA, 93277, with a listed phone of (559) 713-1600. NPI 1235794173 was issued on 05/07/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CASABAY 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 707 prescription claims written by this provider, covering 138 Medicare beneficiaries and totaling roughly $217K in drug spend, split 39% brand-name and 61% 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 91.94/100 for the 2023 performance year (Quality 95.6328, Cost 65.834), 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

5410 W CYPRESS AVE STE 102
VISALIA, CA 93277

Provider Details

NPI 1235794173
Specialty Family Nurse Practitioner
Gender Female
NPI Issued 05/07/2019

CMS Quality Score (MIPS)

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

91.94
Final Score
Avg: 83.1
95.6328
Quality
65.834
Cost
94
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SHEILANIE CASABAY 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.

BAZ ALLERGY ASTHMA AND SINUS CENTER INC
FRESNO, CA

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 SHEILANIE CASABAY. Source: openpaymentsdata.cms.gov.

Total received

$914

Largest payer

Regeneron Healthcare Solutions, 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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to SHEILANIE CASABAY. To verify SHEILANIE CASABAY's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

SHEILANIE CASABAY — brand share 39.0%
Specialty average (est.)

39% brand-name claims vs 61% generic, on 707 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.

707
Total Claims
$217K
Total Drug Cost
138
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,013
Total Day Supply
29,314
Brand vs Generic
39% brand / 61% generic
Brand Drug Cost
$205K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
67.2 years
Avg HCC Risk Score
1.16
Gender Split
67% female / 33% male
Age Distribution
<65: 31, 65-74: 80, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What SHEILANIE CASABAY 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
Fluticasone Propionate
114
Montelukast Sodium
91
Azelastine Hcl
77
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
44
Breo Ellipta
Fluticasone/Vilanterol
37
Omeprazole
36
Albuterol Sulfate Hfa
Albuterol Sulfate
31
Ipratropium Bromide
31
Spiriva Respimat
Tiotropium Bromide
29
Symbicort
Budesonide/Formoterol Fumarate
29

* 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 SHEILANIE CASABAY 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

SHEILANIE CASABAY's 707 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in California

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

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

Frequently Asked Questions

What is SHEILANIE CASABAY's specialty?
SHEILANIE CASABAY specializes in Family Nurse Practitioner and practices in VISALIA, California.
How much does SHEILANIE CASABAY prescribe under Medicare Part D?
In 2023, SHEILANIE CASABAY wrote 707 Medicare Part D claims totaling $217K in drug costs for 138 beneficiaries.
What is SHEILANIE CASABAY's Medicare quality score?
SHEILANIE CASABAY has a CMS MIPS Final Score of 91.94/100 (Quality: 95.6328, Cost: 65.834). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHEILANIE CASABAY located?
SHEILANIE CASABAY is located at 5410 W CYPRESS AVE STE 102, VISALIA, CA, 93277. Phone: (559) 713-1600.
What is SHEILANIE CASABAY's NPI number?
SHEILANIE CASABAY's National Provider Identifier (NPI) is 1235794173, issued on 05/07/2019.
Does SHEILANIE CASABAY prescribe more brand-name or generic drugs?
SHEILANIE CASABAY's prescribing is 39% brand-name and 61% generic drugs by claim count, with $205K 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 SHEILANIE CASABAY prescribe most often?
Based on 2023 Medicare Part D data, SHEILANIE CASABAY's most frequently prescribed drugs include Fluticasone Propionate, Montelukast Sodium, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHEILANIE CASABAY accept Medicare?
SHEILANIE CASABAY appears in CMS Medicare data with 707 Part D claims and 138 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHEILANIE CASABAY's credentials?
SHEILANIE CASABAY's NPI is 1235794173. 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