Shelly Garcia, MSN,NP-C
Adult Health Nurse Practitioner in Miami, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,519 in Adult Health 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.
What the federal data shows
Shelly Garcia, MSN,NP-C reported a CMS MIPS final score of 87.4/100 - above the 83.5 national average - and filed 99 Medicare Part D claims in 2023.
- 87.4/100
- MIPS score · +4 vs avg
- 99
- Part D claims, 2023
- ≥52nd
- pct among measured MIPS (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.
Shelly Garcia, MSN,NP-C's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
87 ≥ 52nd percentile 52% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Shelly Garcia, MSN,NP-C sits
This provider among adult health nurse practitioner peers
Across the 4,201 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Shelly Garcia, MSN,NP-C writes more Part D claims than 22% of them and scores higher on MIPS quality than 52% - placing this provider in the lower-volume, high-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
Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Shelly Garcia, MSN,NP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Shelly Garcia, MSN,NP-C?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Florida
How Adult Health Nurse Practitioner compares to other specialties among Florida providers
Adult Health Nurse Practitioner ranks #35 among Florida's specialties (0.6% of in-state providers)
Each bar is a specialty's share of the Florida provider total, by primary NUCC taxonomy. The highlighted bar is Adult Health Nurse Practitioner; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Shelly Garcia, MSN,NP-C's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average
- MIPS Final Score
- 87.4/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Adult Health Nurse Practitioner) - 87.4/100 vs national avg 83.5
Quality benchmarks
- National MIPS avg 2023 measured reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Adult Health Nurse Practitioner US NPIs
87.4/100 MIPS final score - 3.9 pts above the 83.5 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Adult Health Nurse Practitioner. Quality dim: 80.7. Cost dim: 60.
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).
Shelly Garcia, MSN,NP-C appears in the CMS NPPES registry as an Adult Health Nurse Practitioner provider holding MSN,NP-C credentials at 1611 NW 12TH AVE, Miami, FL, 33136, with a listed phone of (305) 979-7120. NPI 1952575755 was issued on 04/14/2008.
Medicare Part D records for calendar year 2023 show 99 prescription claims written by this provider, covering 67 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 65.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.4/100 for the 2023 performance year (Quality 80.7, Cost 60), compared with the 83.5 average among clinicians with a measured score.
Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,519 enrolled providers across 55 states and an average of 1,201 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
Provider Details
| NPI | 1952575755 |
|---|---|
| Specialty | Adult Health Nurse Practitioner |
| Credentials | MSN,NP-C |
| Gender | Female |
| NPI Issued | 04/14/2008 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Shelly Garcia, MSN,NP-C's current license status, disciplinary history, and board certifications with the Florida Board of Medicine in Florida before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1952575755 is the unique 10-digit identifier CMS uses to link Garcia across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where Shelly Garcia, MSN,NP-C 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Shelly Garcia, MSN,NP-C. To verify Shelly Garcia, MSN,NP-C's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 106
- Total Day Supply
- 974
- Generic Drug Cost
- $890
- Opioid Claims
- 65 (65.7% rate)
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 1.67
- Gender Split
- 48% female / 52% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 49 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Health Nurse Practitioner Overview
How Shelly Garcia, MSN,NP-C fits within the Adult Health Nurse Practitioner landscape nationally.
Shelly Garcia, MSN,NP-C's 99 claims are below the specialty average of 1,201.
Nearby Adult Health Nurse Practitioner Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Garcia.
Compare Adult Health 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Health 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
Explore Florida
Frequently Asked Questions
What is Shelly Garcia, MSN,NP-C's specialty? ▼
How much does Shelly Garcia, MSN,NP-C prescribe under Medicare Part D? ▼
What is Shelly Garcia, MSN,NP-C's Medicare quality score? ▼
Where is Shelly Garcia, MSN,NP-C located? ▼
What is Shelly Garcia, MSN,NP-C's NPI number? ▼
Does Shelly Garcia, MSN,NP-C prescribe opioids? ▼
How many Adult Health Nurse Practitioner providers are there in the US? ▼
What drugs does Shelly Garcia, MSN,NP-C prescribe most often? ▼
Does Shelly Garcia, MSN,NP-C accept Medicare? ▼
How can I verify Shelly Garcia, MSN,NP-C's credentials? ▼
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 (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
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 May 2026.
Published by
PlainDoctor
Independent public-data reference that compiles, verifies, and contextualizes official datasets. We do not accept compensation from entities we cover, and every dataset cites its originating public source.