2026 NPPES data Emergency Registered Nurse NPI 1790245330 MSN, APRN, NP-C
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TAMMY GERMANY, MSN, APRN, NP-C

Emergency Registered Nurse in MIDLOTHIAN, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
284
Medicare Part D claims · 207 beneficiaries · Emergency Registered Nurse avg: 710
What the federal data reveals: TAMMY GERMANY, MSN, APRN, NP-C is a Emergency Registered Nurse ([object Object]) practicing in MIDLOTHIAN, Texas with a Medicare Part D prescribing footprint of 284 claims across 207 beneficiaries .

What stands out: TAMMY GERMANY, MSN, APRN, NP-C filed 284 Medicare Part D claims in 2023 across MIDLOTHIAN, Texas. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

TAMMY GERMANY, MSN, APRN, NP-C at a glance

Quality data not reported

NPI registry status

Active

Issued 03/20/2019

NPI 1790245330

Primary specialty

Emergency Registered Nurse

Niche

4,284 US NPIs in this specialty

Medicare Part D claims

284 60% vs specialty avg

2023 prescription claims

Specialty avg: 710

Specialty distribution in Texas

How Emergency Registered Nurse compares to other specialties among Texas providers

Texas providers

Emergency Registered Nurse share within Texas

1. Emergency Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Registered Nurse share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Emergency Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Emergency Registered Nurse ABMS/AOA estimate

Est. board-certified rate (Emergency Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Emergency Registered Nurse) — ABMS / AOA estimate

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).

TAMMY GERMANY, MSN, APRN, NP-C is a Emergency Registered Nurse provider practicing in MIDLOTHIAN, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MSN, APRN, NP-C. NPI: 1790245330. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TAMMY GERMANY, MSN, APRN, NP-C appears in the CMS NPPES registry as a Emergency Registered Nurse provider holding MSN, APRN, NP-C credentials at 1000 E MAIN ST STE 205, MIDLOTHIAN, TX, 76065, with a listed phone of (806) 224-6515. NPI 1790245330 was issued on 03/20/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GERMANY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 284 prescription claims written by this provider, covering 207 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 7.7%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Emergency Registered Nurse is a narrow specialty nationwide, with 4,284 enrolled providers across 54 states and an average of 710 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

1000 E MAIN ST STE 205
MIDLOTHIAN, TX 76065

Provider Details

NPI 1790245330
Specialty Emergency Registered Nurse
Credentials MSN, APRN, NP-C
Gender Female
NPI Issued 03/20/2019

Hospital and facility affiliations

Facilities where TAMMY GERMANY, MSN, APRN, 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.

LAS CRUCES HB MEDICAL SERVICES LLC
LAS CRUCES, NM

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to TAMMY GERMANY, MSN, APRN, NP-C. To verify TAMMY GERMANY, MSN, APRN, NP-C's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas 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.

284
Total Claims
$4K
Total Drug Cost
207
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
284
Total Day Supply
2,799
Generic Drug Cost
$3K
Opioid Claims
22 (7.7% rate)
Antibiotic Claims
111

Patient Demographics

Average Patient Age
68.7 years
Avg HCC Risk Score
1.51
Gender Split
60% female / 40% male
Age Distribution
<65: 58, 65-74: 77, 75-84: 55, 85+: 17

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Ondansetron Odt
Ondansetron
30
Doxycycline Hyclate
25
Naproxen
22
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
21
Cephalexin
17
Ciprofloxacin Hcl
14
Cyclobenzaprine Hcl
14
Gabapentin
13
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
13

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

Emergency Registered Nurse Overview

How TAMMY GERMANY, MSN, APRN, NP-C fits within the Emergency Registered Nurse landscape nationally.

4,284
Emergency Registered Nurse Providers in US
54
States with Emergency Registered Nurse
710
Avg Claims per Provider

TAMMY GERMANY, MSN, APRN, NP-C's 284 claims are below the specialty average of 710.

Nearby Emergency Registered Nurse Providers in Texas

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

Compare Emergency Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is TAMMY GERMANY, MSN, APRN, NP-C's specialty?
TAMMY GERMANY, MSN, APRN, NP-C specializes in Emergency Registered Nurse and practices in MIDLOTHIAN, Texas. Credentials: MSN, APRN, NP-C.
How much does TAMMY GERMANY, MSN, APRN, NP-C prescribe under Medicare Part D?
In 2023, TAMMY GERMANY, MSN, APRN, NP-C wrote 284 Medicare Part D claims totaling $4K in drug costs for 207 beneficiaries.
Where is TAMMY GERMANY, MSN, APRN, NP-C located?
TAMMY GERMANY, MSN, APRN, NP-C is located at 1000 E MAIN ST STE 205, MIDLOTHIAN, TX, 76065. Phone: (806) 224-6515.
What is TAMMY GERMANY, MSN, APRN, NP-C's NPI number?
TAMMY GERMANY, MSN, APRN, NP-C's National Provider Identifier (NPI) is 1790245330, issued on 03/20/2019.
Does TAMMY GERMANY, MSN, APRN, NP-C prescribe opioids?
Yes, TAMMY GERMANY, MSN, APRN, NP-C had 22 opioid claims in 2023 with an opioid prescribing rate of 7.7%.
How many Emergency Registered Nurse providers are there in the US?
There are 4,284 Emergency Registered Nurse providers across 54 states in the US. The average Emergency Registered Nurse provider writes 710 Medicare Part D claims per year.
What drugs does TAMMY GERMANY, MSN, APRN, NP-C prescribe most often?
Based on 2023 Medicare Part D data, TAMMY GERMANY, MSN, APRN, NP-C's most frequently prescribed drugs include Ondansetron Odt, Doxycycline Hyclate, Naproxen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TAMMY GERMANY, MSN, APRN, NP-C accept Medicare?
TAMMY GERMANY, MSN, APRN, NP-C appears in CMS Medicare data with 284 Part D claims and 207 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TAMMY GERMANY, MSN, APRN, NP-C's credentials?
TAMMY GERMANY, MSN, APRN, NP-C's NPI is 1790245330 with credentials MSN, APRN, NP-C. 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

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