2026 NPPES data Nurse Practitioner NPI 1033227863 ARNP
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Susan Cain, ARNP

Nurse Practitioner in Spokane, Washington.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 89,808 in 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.

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
2K
Medicare Part D claims · 409 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$2.1K
71 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Susan Cain, ARNP carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 2,149 Medicare Part D claims in 2024.

75/100
CMS neutral score · not measured
2K
Part D claims, 2024
$2.1K
industry payments (Sunshine Act)
≥85th
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.

Federal trust snapshot

What official records show about Susan Cain, ARNP

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1033227863), first enumerated 08/29/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 2,149 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)

    CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.

    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

  • Reported

    Industry payment transparency

    $2.1K in reported industry payments (71 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Washington statewide board action statistics are published annually — these figures describe aggregate state activity, not Susan Cain, ARNP's individual license status. Verify directly with the state medical board.

    Source: WMC 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 1033227863 · Nurse Practitioner

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-NEUTRAL · RX-MID · BOOK-LIGHT · PHOTO-ENUM

  • NPI-10 1033227863
  • ENUM-LEGACY 2006
  • TAX-MEGA 90K Nurse Practitioner
  • MIPS-NEUTRAL 75/100
  • RX-MID 2,149
  • BOOK-LIGHT 2,124 in Washington
  • PHOTO-ENUM Deraine Graham, NP · 2006

Susan Cain, ARNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

2,149 ≥ 85th percentile 85% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). Below this entry. 200–400: 188,835 prescribers (13%). Below this entry. 400–600: 95,866 prescribers (7%). Below this entry. 600–800: 60,107 prescribers (4%). Below this entry. 800–1,000: 43,043 prescribers (3%). Below this entry. 1,000–1,200: 33,612 prescribers (2%). Below this entry. 1,200–1,400: 27,889 prescribers (2%). Below this entry. 1,400–1,600: 23,183 prescribers (2%). Below this entry. 1,600–1,800: 19,917 prescribers (1%). Below this entry. 1,800–2,000: 17,585 prescribers (1%). Below this entry. 2K+: 226,899 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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 · 2024

What does the federal data show about Susan Cain, ARNP?

CMS neutral score, not measured

NPI registry status

Active

Issued 08/29/2006

NPI 1033227863

Primary specialty

Nurse Practitioner

High-volume

89,808 US NPIs in this specialty

Medicare Part D claims

2,149 88% vs specialty avg

2024 prescription claims

Specialty avg: 1,144

MIPS final score

75/100

CMS neutral score, not measured

No category scores published; CMS assigned the performance threshold

Specialty distribution in Washington

How Nurse Practitioner compares to other specialties among Washington providers

Washington providers
Mental Health Counselor8.5%Massage Therapist6.4%Counselor5.7%Behavior Technician4.7%Pharmacist3.8%Physical Therapist3.6%Nurse Practitioner1%
Largest specialties in Washington (% of in-state providers)

MIPS score not measured

CMS assigned a neutral 75/100 threshold

CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.

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

1401 E TRENT AVE STE 200
Spokane, WA 99202

Provider Details

NPI 1033227863
Specialty Nurse Practitioner
Credentials ARNP
Gender Female
NPI Issued 08/29/2006

CMS Quality Score (MIPS)

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

75
Final Score
CMS neutral threshold · not measured

Reporting: Group practice

Hospital and facility affiliations

Facilities where Susan Cain, ARNP 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.

Spokane Urology PLLC
Spokane, WA

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 Susan Cain, ARNP. Source: openpaymentsdata.cms.gov.

Total received

$2.1K

Largest payer

Dendreon Pharmaceuticals LLC

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 - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Susan Cain, ARNP. To verify Susan Cain, ARNP's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington 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.

2,149
Total Claims
$3.6M
Total Drug Cost
409
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,495.967
Total Day Supply
97,359
Generic Drug Cost
$279K
Antibiotic Claims
439

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.65
Gender Split
32% female / 68% male
Age Distribution
<65: 41, 65-74: 143, 75-84: 162, 85+: 63

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Susan Cain, ARNP prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Tamsulosin Hcl
346
Orgovyx
Relugolix
174
Finasteride
147
Erleada
Apalutamide
109
Abiraterone Acetate
97
Prednisone
89
Myrbetriq
Mirabegron
74
Cephalexin
67
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
64
Gemtesa
Vibegron
59

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nurse Practitioner Overview

How Susan Cain, ARNP fits within the Nurse Practitioner landscape nationally.

89,808
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,144
Avg Claims per Provider

Susan Cain, ARNP's 2,149 claims are above the specialty average of 1,144.

Nationwide Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Cain, both outside Washington so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (75 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Nurse Practitioner Providers in Washington

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

One of 2,124 Nurse Practitioner providers enrolled in Washington, 5 are shown here.

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

Frequently Asked Questions

What is Susan Cain, ARNP's specialty?
Susan Cain, ARNP specializes in Nurse Practitioner and practices in Spokane, Washington. Credentials: ARNP.
How much does Susan Cain, ARNP prescribe under Medicare Part D?
In 2024, Susan Cain, ARNP wrote 2,149 Medicare Part D claims totaling $3.6M in drug costs for 409 beneficiaries.
What is Susan Cain, ARNP's Medicare quality score?
Susan Cain, ARNP has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. 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 Susan Cain, ARNP located?
Susan Cain, ARNP is located at 1401 E TRENT AVE STE 200, Spokane, WA, 99202. Phone: (509) 747-3147.
What is Susan Cain, ARNP's NPI number?
Susan Cain, ARNP's National Provider Identifier (NPI) is 1033227863, issued on 08/29/2006.
How many Nurse Practitioner providers are there in the US?
There are 89,808 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,144 Medicare Part D claims per year.
What drugs does Susan Cain, ARNP prescribe most often?
Based on 2024 Medicare Part D data, Susan Cain, ARNP's most frequently prescribed drugs include Tamsulosin Hcl, Orgovyx, Finasteride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Susan Cain, ARNP accept Medicare?
Susan Cain, ARNP appears in CMS Medicare data with 2,149 Part D claims and 409 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Susan Cain, ARNP's credentials?
Susan Cain, ARNP's NPI is 1033227863 with credentials ARNP. 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.