NPI registry status
Active
2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1861679128
Verify on CMS → Sonya Rawls
Adult Health Clinical Nurse Specialist in Chicago, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,376 in Adult Health Clinical Nurse Specialist, 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
375
Medicare Part D claims · 131 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
MIPS score
97.7/100
▲ 14 pts above national avg 83.5 · Exceptional
What the federal data shows
Sonya Rawls reported a CMS MIPS final score of 97.7/100 - above the 83.5 national average - and filed 375 Medicare Part D claims in 2024.
- 97.7/100
- MIPS score · +14 vs avg
- 375
- Part D claims, 2024
- ≥84th
- 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.
Federal trust snapshot
What official records show about Sonya Rawls
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1861679128), first enumerated 01/29/2008.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 375 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 97.7/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Sonya Rawls's individual license status. Verify directly with the state medical board.
Source: IDFPR annual report 2023
- 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 1861679128 · Adult Health Clinical Nurse Specialist
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1861679128
- ENUM-MID 2008
- TAX-NARROW 1,376
- MIPS-ELITE 97.7/100
- RX-LIGHT 375
- BOOK-THIN 107 in Illinois
- PHOTO-FINISH Candis Broadnax · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Candis Broadnax …
Candis Broadnax
97.6 MIPS pts
- Marcella Hanson,…
Marcella Hanson, APRN, CNP
97.6 MIPS pts
- Robert Montgomer…
Robert Montgomery, CNS
97.6 MIPS pts
- Rawls · this pro…
Rawls · this provider
97.7 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Sonya Rawls'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.
98 ≥ 84th percentile 84% 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 Sonya Rawls sits
This provider among adult health clinical nurse specialist peers
Across the 141 adult health clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Sonya Rawls writes more Part D claims than 43% of them and scores higher on MIPS quality than 91% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one adult health clinical nurse specialist peer from a representative sample of 60; the gold marker is Sonya Rawls. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Sonya Rawls?
High performer (top quartile)Primary specialty
Adult Health Clinical Nurse Specialist
Medicare Part D claims
375 69% vs specialty avg
MIPS final score
97.7/100 14.2 pts vs avg
Specialty distribution in Illinois
How Adult Health Clinical Nurse Specialist compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Sonya Rawls's 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average
- MIPS Final Score
- 97.7/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1861679128 |
|---|---|
| Specialty | Adult Health Clinical Nurse Specialist |
| Gender | Female |
| NPI Issued | 01/29/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.7188
Final Score
Measured-score avg: 83.5
75.4375
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Sonya Rawls 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.
University OF Chicago
Chicago, IL
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 - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Sonya Rawls. To verify Sonya Rawls's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR 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 Illinois 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 2024.
375
Total Claims
$14K
Total Drug Cost
131
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 780.467
- Total Day Supply
- 22,339
- Generic Drug Cost
- $9K
- Opioid Claims
- 13 (3.5% rate)
- Antibiotic Claims
- 18
Patient Demographics
- Average Patient Age
- 82.6 years
- Avg HCC Risk Score
- 1.89
- Gender Split
- 78% female / 22% male
- Age Distribution
- <65: 0, 65-74: 22, 75-84: 55, 85+: 54
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Sonya Rawls prescribes most
Top Medicare Part D drugs by claim count, 2024
- Amlodipine Besylate
Amlodipine Besylate
36 claims
- Atorvastatin Calcium
Atorvastatin Calcium
22 claims
- Hydrochlorothiazide
Hydrochlorothiazide
19 claims
- Losartan Potassium
Losartan Potassium
15 claims
- Gabapentin 14
Gabapentin
14 claims
- Lisinopril 13
Lisinopril
13 claims
- Nifedipine Er 13
Nifedipine Er
13 claims
- Amiodarone Hcl 12
Amiodarone Hcl
12 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 36 |
| Atorvastatin Calcium | 22 |
| Hydrochlorothiazide | 19 |
| Losartan Potassium | 15 |
| Gabapentin | 14 |
| Lisinopril | 13 |
| Nifedipine Er Nifedipine | 13 |
| Amiodarone Hcl | 12 |
| Carvedilol | 12 |
| Mirtazapine | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Adult Health Clinical Nurse Specialist in IL →
All providers in Illinois →
Compare specialties →
Adult Health Clinical Nurse Specialist Overview
How Sonya Rawls fits within the Adult Health Clinical Nurse Specialist landscape nationally.
1,376
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,202
Avg Claims per Provider
Sonya Rawls's 375 claims are below the specialty average of 1,202.
Nationwide Adult Health Clinical Nurse Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Rawls, both outside Illinois so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.7 here).
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult Health Clinical Nurse Specialist Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Rawls.
One of 107 Adult Health Clinical Nurse Specialist providers enrolled in Illinois, 5 are shown here.
Kara Aalfs
A.P.N.
Saint Charles, IL
Kenna Altobello
APN
Champaign, IL
Christine Anderson
APRN
Rockford, IL
Katherine Anderson
APN
Chicago, IL
Ruth Arms
ACNS-BC
Peoria, IL
Compare Adult Health Clinical Nurse Specialist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Sonya Rawls's specialty? ▼
Sonya Rawls specializes in Adult Health Clinical Nurse Specialist and practices in Chicago, Illinois.
How much does Sonya Rawls prescribe under Medicare Part D? ▼
In 2024, Sonya Rawls wrote 375 Medicare Part D claims totaling $14K in drug costs for 131 beneficiaries.
What is Sonya Rawls's Medicare quality score? ▼
Sonya Rawls has a CMS MIPS Final Score of 97.7/100 (Quality: 75.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sonya Rawls located? ▼
Sonya Rawls is located at 5841 S MARYLAND AVE, Chicago, IL, 60637. Phone: (888) 824-0200.
What is Sonya Rawls's NPI number? ▼
Sonya Rawls's National Provider Identifier (NPI) is 1861679128, issued on 01/29/2008.
Does Sonya Rawls prescribe opioids? ▼
Yes, Sonya Rawls had 13 opioid claims in 2024 with an opioid prescribing rate of 3.5%.
How many Adult Health Clinical Nurse Specialist providers are there in the US? ▼
There are 1,376 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,202 Medicare Part D claims per year.
What drugs does Sonya Rawls prescribe most often? ▼
Based on 2024 Medicare Part D data, Sonya Rawls's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Hydrochlorothiazide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sonya Rawls accept Medicare? ▼
Sonya Rawls appears in CMS Medicare data with 375 Part D claims and 131 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sonya Rawls's credentials? ▼
Sonya Rawls's NPI is 1861679128. 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.
- 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 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.