NPI registry status
Active
2026 NPPES data Registered Nurse NPI 1558818153 REGISTERED NURSE
Verify on CMS → Smitha Fleviya, REGISTERED NURSE
Registered Nurse in Visalia, California.
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
190
Medicare Part D claims · 86 beneficiaries · Registered Nurse avg: 1K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Smitha Fleviya, REGISTERED NURSE filed 190 Medicare Part D claims in 2023 as a Registered Nurse in Visalia, California, prescribing 80% generic.
- 190
- Part D claims, 2023
- 80%
- generic prescribing
- ≥35th
- 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.
Smitha Fleviya, REGISTERED NURSE's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
190 ≥ 35th percentile 35% of 1,370,886 prescribers are in lower value bands
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 · 2023
What does the federal data show about Smitha Fleviya, REGISTERED NURSE?
Quality data not reportedPrimary specialty
Registered Nurse
Medicare Part D claims
190 81% vs specialty avg
Specialty distribution in California
How Registered Nurse compares to other specialties among California 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).
Smitha Fleviya, REGISTERED NURSE appears in the CMS NPPES registry as a Registered Nurse provider holding REGISTERED NURSE credentials at 4636 W DOUGLAS AVE, Visalia, CA, 93291, with a listed phone of (559) 827-1100. NPI 1558818153 was issued on 09/01/2016.
Medicare Part D records for calendar year 2023 show 190 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $22K in drug spend, split 20% brand-name and 80% generic by claim count.
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 | 1558818153 |
|---|---|
| Specialty | Registered Nurse |
| Credentials | REGISTERED NURSE |
| Gender | Female |
| NPI Issued | 09/01/2016 |
Hospital and facility affiliations
Facilities where Smitha Fleviya, REGISTERED NURSE 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.
Kaweah Delta Health Care District
Visalia, 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).
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 Smitha Fleviya, REGISTERED NURSE. To verify Smitha Fleviya, REGISTERED NURSE'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 · Typical
Smitha Fleviya, REGISTERED NURSE - brand share 20.0%
Registered Nurse average
20% brand-name claims vs 80% generic, on 190 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.
190
Total Claims
$22K
Total Drug Cost
86
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 349
- Total Day Supply
- 10,470
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $20K
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 73.8 years
- Avg HCC Risk Score
- 1.47
- Gender Split
- 37% female / 63% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Smitha Fleviya, REGISTERED NURSE prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clopidogrel
Clopidogrel
85 claims
- Atorvastatin Calcium
Atorvastatin Calcium
44 claims
- Brilinta
Brilinta
36 claims
| Drug | Claims |
|---|---|
| Clopidogrel Clopidogrel Bisulfate | 85 |
| Atorvastatin Calcium | 44 |
| Brilinta Ticagrelor | 36 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Registered Nurse Overview
How Smitha Fleviya, REGISTERED NURSE 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
Smitha Fleviya, REGISTERED NURSE's 190 claims are below the specialty average of 1,000.
Nearby Registered Nurse Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Fleviya.
Dr. Patricia A Onyango
RN
Modesto, CA
Dr. Adelaida A Zavala
RN
Ontario, CA
Dr. Anu Aaltonen-Bond
RN
Rancho Cordova, CA
Victoria Aardappel
Chico, CA
Dr. Denise Aaron
RN
San Diego, CA
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 California 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.
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Frequently Asked Questions
What is Smitha Fleviya, REGISTERED NURSE's specialty? ▼
Smitha Fleviya, REGISTERED NURSE specializes in Registered Nurse and practices in Visalia, California. Credentials: REGISTERED NURSE.
How much does Smitha Fleviya, REGISTERED NURSE prescribe under Medicare Part D? ▼
In 2023, Smitha Fleviya, REGISTERED NURSE wrote 190 Medicare Part D claims totaling $22K in drug costs for 86 beneficiaries.
Where is Smitha Fleviya, REGISTERED NURSE located? ▼
Smitha Fleviya, REGISTERED NURSE is located at 4636 W DOUGLAS AVE, Visalia, CA, 93291. Phone: (559) 827-1100.
What is Smitha Fleviya, REGISTERED NURSE's NPI number? ▼
Smitha Fleviya, REGISTERED NURSE's National Provider Identifier (NPI) is 1558818153, issued on 09/01/2016.
Does Smitha Fleviya, REGISTERED NURSE prescribe more brand-name or generic drugs? ▼
Smitha Fleviya, REGISTERED NURSE's prescribing is 20% brand-name and 80% generic drugs by claim count, with $20K in brand drug costs.
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 Smitha Fleviya, REGISTERED NURSE prescribe most often? ▼
Based on 2023 Medicare Part D data, Smitha Fleviya, REGISTERED NURSE's most frequently prescribed drugs include Clopidogrel, Atorvastatin Calcium, Brilinta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Smitha Fleviya, REGISTERED NURSE accept Medicare? ▼
Smitha Fleviya, REGISTERED NURSE appears in CMS Medicare data with 190 Part D claims and 86 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Smitha Fleviya, REGISTERED NURSE's credentials? ▼
Smitha Fleviya, REGISTERED NURSE's NPI is 1558818153 with credentials REGISTERED NURSE. 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
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.