NPI registry status
Active
2026 NPPES data Registered Nurse NPI 1386279404
Verify on CMS → Sierra Paradise
Registered Nurse in Claremont, New Hampshire.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 177,204 in Registered Nurse, 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
4K
Medicare Part D claims · 162 beneficiaries · Registered Nurse avg: 1K
Generic prescribing
81%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sierra Paradise filed 4,169 Medicare Part D claims in 2023 as a Registered Nurse in Claremont, New Hampshire, prescribing 81% generic.
- 4K
- Part D claims, 2023
- 81%
- 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.
Sierra Paradise's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
4,169 Top 8% higher than 92% of 1,370,886 prescribers
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 Sierra Paradise?
Quality data not reportedPrimary specialty
Registered Nurse
Medicare Part D claims
4,169 317% vs specialty avg
Specialty distribution in New Hampshire
How Registered Nurse compares to other specialties among New Hampshire 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 Registered Nurse. 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).
Sierra Paradise appears in the CMS NPPES registry as a Registered Nurse provider at 5 NURSING HOME DR, Claremont, NH, 03743, with a listed phone of (603) 542-9511. NPI 1386279404 was issued on 03/09/2020.
Medicare Part D records for calendar year 2023 show 4,169 prescription claims written by this provider, covering 162 Medicare beneficiaries and totaling roughly $260K in drug spend, split 17% brand-name and 81% generic by claim count, with an opioid prescribing rate of 8.3%.
Registered Nurse is a high-volume specialty nationwide, with 177,204 enrolled providers across 56 states and an average of 1,000 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 | 1386279404 |
|---|---|
| Specialty | Registered Nurse |
| Gender | Female |
| NPI Issued | 03/09/2020 |
Brand vs generic prescribing mix · Typical
Sierra Paradise - brand share 17.0%
Registered Nurse average
17% brand-name claims vs 81% generic, on 4,169 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.
4,169
Total Claims
$260K
Total Drug Cost
162
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,182
- Total Day Supply
- 91,238
- Brand vs Generic
- 17% brand / 81% generic
- Brand Drug Cost
- $165K
- Generic Drug Cost
- $90K
- Opioid Claims
- 345 (8.3% rate)
- Antibiotic Claims
- 128
Patient Demographics
- Average Patient Age
- 81.2 years
- Avg HCC Risk Score
- 1.63
- Gender Split
- 72% female / 28% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sierra Paradise prescribes most
Top Medicare Part D drugs by claim count, 2023
- Lorazepam
Lorazepam
153 claims
- Amlodipine Besylate
Amlodipine Besylate
134 claims
- Furosemide
Furosemide
134 claims
- Eliquis
Eliquis
125 claims
- Atorvastatin Calcium
Atorvastatin Calcium
116 claims
- Quetiapine Fumarate
Quetiapine Fumarate
115 claims
- Levothyroxine Sodium
Levothyroxine Sodium
107 claims
- Mirtazapine
Mirtazapine
102 claims
| Drug | Claims |
|---|---|
| Lorazepam | 153 |
| Amlodipine Besylate | 134 |
| Furosemide | 134 |
| Eliquis Apixaban | 125 |
| Atorvastatin Calcium | 116 |
| Quetiapine Fumarate | 115 |
| Levothyroxine Sodium | 107 |
| Mirtazapine | 102 |
| Losartan Potassium | 90 |
| Escitalopram Oxalate | 86 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Registered Nurse Overview
How Sierra Paradise fits within the Registered Nurse landscape nationally.
177,204
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider
Sierra Paradise's 4,169 claims are above the specialty average of 1,000.
Nearby Registered Nurse Providers in New Hampshire
Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as Paradise.
Dr. Ann-Marie Adams
RN
Manchester, NH
Dr. Stacey Adams
RN
Derry, NH
Chandra Adhikari
Manchester, NH
Dr. Shenekua Agyemang
RN
Concord, NH
Dr. Kristine Ainsworth Quintal
FNP
Nashua, NH
Compare Registered Nurse 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 New Hampshire medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Registered Nurse 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
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore New Hampshire
Frequently Asked Questions
What is Sierra Paradise's specialty? ▼
Sierra Paradise specializes in Registered Nurse and practices in Claremont, New Hampshire.
How much does Sierra Paradise prescribe under Medicare Part D? ▼
In 2023, Sierra Paradise wrote 4,169 Medicare Part D claims totaling $260K in drug costs for 162 beneficiaries.
Where is Sierra Paradise located? ▼
Sierra Paradise is located at 5 NURSING HOME DR, Claremont, NH, 03743. Phone: (603) 542-9511.
What is Sierra Paradise's NPI number? ▼
Sierra Paradise's National Provider Identifier (NPI) is 1386279404, issued on 03/09/2020.
Does Sierra Paradise prescribe more brand-name or generic drugs? ▼
Sierra Paradise's prescribing is 17% brand-name and 81% generic drugs by claim count, with $165K in brand drug costs.
Does Sierra Paradise prescribe opioids? ▼
Yes, Sierra Paradise had 345 opioid claims in 2023 with an opioid prescribing rate of 8.3%.
How many Registered Nurse providers are there in the US? ▼
There are 177,204 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does Sierra Paradise prescribe most often? ▼
Based on 2023 Medicare Part D data, Sierra Paradise's most frequently prescribed drugs include Lorazepam, Amlodipine Besylate, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sierra Paradise accept Medicare? ▼
Sierra Paradise appears in CMS Medicare data with 4,169 Part D claims and 162 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sierra Paradise's credentials? ▼
Sierra Paradise's NPI is 1386279404. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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.