2026 NPPES data Registered Nurse NPI 1154073898
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Victoria Symonds

Registered Nurse 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 175,652 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
1K
Medicare Part D claims · 187 beneficiaries · Registered Nurse avg: 1K
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Victoria Symonds filed 1,477 Medicare Part D claims in 2023 as a Registered Nurse in Spokane, Washington, prescribing 85% generic.

1K
Part D claims, 2023
85%
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.

Victoria Symonds's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

1,477 Top 20% higher than 80% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). This entry sits in this band. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Victoria Symonds?

Quality data not reported

NPI registry status

Active

Issued 01/24/2022

NPI 1154073898

Primary specialty

Registered Nurse

High-volume

175,652 US NPIs in this specialty

Medicare Part D claims

1,477 48% vs specialty avg

2023 prescription claims

Specialty avg: 1,000

Specialty distribution in Washington

How Registered Nurse compares to other specialties among Washington providers

Washington providers
Mental Health Counselor - 8.6%Mental Health Counselor8.6%Massage Therapist - 6.5%Massage Therapist6.5%Counselor - 5.7%Counselor5.7%Behavior Technician - 4.5%Behavior Technician4.5%Pharmacist - 4%Pharmacist4%Physical Therapist - 3.6%Physical Therapist3.6%Registered Nurse - 3.4%Registered Nurse3.4%
Largest specialties in Washington (% of in-state 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).

Victoria Symonds appears in the CMS NPPES registry as a Registered Nurse provider at 4001 N COOK ST STE 900, Spokane, WA, 99207, with a listed phone of (509) 483-3427. NPI 1154073898 was issued on 01/24/2022.

Medicare Part D records for calendar year 2023 show 1,477 prescription claims written by this provider, covering 187 Medicare beneficiaries and totaling roughly $147K in drug spend, split 14% brand-name and 85% generic by claim count, with an opioid prescribing rate of 2.6%.

Registered Nurse is a high-volume specialty nationwide, with 175,652 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

4001 N COOK ST STE 900
Spokane, WA 99207

Provider Details

NPI 1154073898
Specialty Registered Nurse
Gender Female
NPI Issued 01/24/2022

Hospital and facility affiliations

Facilities where Victoria Symonds 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.

Capital Medical Center Physicians LLC
Olympia, WA
Yakima Valley Farm Workers Clinic
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).

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 Victoria Symonds. To verify Victoria Symonds'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.

Brand vs generic prescribing mix · Typical

Victoria Symonds - brand share 14.0%
Registered Nurse average

14% brand-name claims vs 85% generic, on 1,477 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.

1,477
Total Claims
$147K
Total Drug Cost
187
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,179
Total Day Supply
59,950
Brand vs Generic
14% brand / 85% generic
Brand Drug Cost
$114K
Generic Drug Cost
$32K
Opioid Claims
38 (2.6% rate)
Antibiotic Claims
55

Patient Demographics

Average Patient Age
64.1 years
Avg HCC Risk Score
1.41
Gender Split
64% female / 36% male
Age Distribution
<65: 75, 65-74: 78, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Victoria Symonds prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Lisinopril
64
Amlodipine Besylate
50
Albuterol Sulfate Hfa
Albuterol Sulfate
47
Atorvastatin Calcium
41
Omeprazole
37
Levothyroxine Sodium
28
Metformin Hcl
28
Baclofen
26
Meloxicam
26
Clopidogrel
Clopidogrel Bisulfate
25

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

Registered Nurse Overview

How Victoria Symonds fits within the Registered Nurse landscape nationally.

175,652
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider

Victoria Symonds's 1,477 claims are above the specialty average of 1,000.

Nearby Registered Nurse Providers in Washington

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

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 Washington 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.

Frequently Asked Questions

What is Victoria Symonds's specialty?
Victoria Symonds specializes in Registered Nurse and practices in Spokane, Washington.
How much does Victoria Symonds prescribe under Medicare Part D?
In 2023, Victoria Symonds wrote 1,477 Medicare Part D claims totaling $147K in drug costs for 187 beneficiaries.
Where is Victoria Symonds located?
Victoria Symonds is located at 4001 N COOK ST STE 900, Spokane, WA, 99207. Phone: (509) 483-3427.
What is Victoria Symonds's NPI number?
Victoria Symonds's National Provider Identifier (NPI) is 1154073898, issued on 01/24/2022.
Does Victoria Symonds prescribe more brand-name or generic drugs?
Victoria Symonds's prescribing is 14% brand-name and 85% generic drugs by claim count, with $114K in brand drug costs.
Does Victoria Symonds prescribe opioids?
Yes, Victoria Symonds had 38 opioid claims in 2023 with an opioid prescribing rate of 2.6%.
How many Registered Nurse providers are there in the US?
There are 175,652 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 Victoria Symonds prescribe most often?
Based on 2023 Medicare Part D data, Victoria Symonds's most frequently prescribed drugs include Lisinopril, Amlodipine Besylate, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Victoria Symonds accept Medicare?
Victoria Symonds appears in CMS Medicare data with 1,477 Part D claims and 187 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Victoria Symonds's credentials?
Victoria Symonds's NPI is 1154073898. 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.