NPPES file of Aug 9, 2026

Zachary Ryan Garland, MSN, ARNP, FNP-C

Nurse Practitioner · Prosser, WA

Zachary Ryan Garland, MSN, ARNP, FNP-C is a nurse practitioner with a practice address in Prosser, Washington, and NPI 1043884547, issued on May 18, 2021. Check the license (Washington AP61182361, as entered in NPPES) with the Washington board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1043884547
Name
Zachary Ryan Garland
Credential
MSN, ARNP, FNP-C
Primary taxonomy
Nurse Practitioner 363L00000X
License numbers
AP61182361 WA
ARNP.AP.61182361-NP WA
Self-reported in NPPES; status is on the state search
Practice location
336 Chardonnay Ave Ste A, Prosser, WA 99350
Phone
(509) 786-1576
Enumerated
May 18, 2021
Record last updated
Jul 28, 2023
Medicare enrollment
Enrolled (PECOS I20210816001138); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 336 Chardonnay Ave Ste A

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Bonnie BairOccupational Therapist1619623311
  2. Danielle Crawford, CPNP-PC, ARNPPediatric Nurse Practitioner1750148540
  3. Afton Dunham, ARNPFamily Nurse Practitioner1841812500
  4. Jonathon FoxFamily Medicine Physician1770226813
  5. Ralph Laraiso, D.O.Physical Medicine & Rehabilitation Physician1699770842
  6. Emmalee Mason, MS CF-SLPSpeech-Language Pathologist1508502931

Verify Zachary Ryan Garland in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Washington board licenses this profession
    Search for license AP61182361
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Washington license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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14% more Medicare Part D claims than the average nurse practitioner in 2024

1,260 Medicare Part D claims for 281 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. Brand-name drugs were 16% of claims.

  1. Zachary Garland1,260
  2. Specialty average1,109

Most prescribed

  1. Atorvastatin Calcium98 claims
  2. Metoprolol Succinate92 claims
  3. Lisinopril76 claims
  4. Losartan Potassium65 claims
  5. Eliquis48 claims
  6. Montelukast Sodium39 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 88.4 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score89.3
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%81.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $237.58

8 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Zachary Garland$237.58
  2. Specialty average$791.64

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Prosser Public Hospital District OF Benton CountyProsser, WA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Zachary Ryan Garland among 2,308 nurse practitioner records in Washington

Zachary Ryan Garland, MSN, ARNP, FNP-C is one of 2,308 nurse practitioner records with a practice address in Washington. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 75% of them.

  • NPI issued2021 · 75% of these records are older, 19% newer
  • In a Medicare fileYes · 72% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated2021 · median 2018 among the 1,301 with a school on file
  • Record last updated2023 · 47% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

4 nurse practitioner records list a practice address in Prosser

They are 4 of the 190 NPPES records with a practice address in Prosser, and 2,308 nurse practitioner records in Washington.

The 8 nurse practitioner records with the nearest ZIP codes

  1. Kailey Friesz, ARNPProsser, WA 993501205594082
  2. Heather Morse, ARNPProsser, WA 993501811074867
  3. Samantha Pedersen, RNProsser, WA 993501871284737
  4. Dennis Ang, ARNPRichland, WA 993521184830432
  5. Dawn Beals, ARNPRichland, WA 993521699865105
  6. Michelle Chinn, CNP ARNPRichland, WA 993521588690523
  7. Jerry Elliott, NP-CRichland, WA 993521114152758
  8. Jason Glade, NPRichland, WA 993521083634620

Common questions

What is Zachary Ryan Garland, MSN, ARNP, FNP-C's NPI number?

Zachary Ryan Garland, MSN, ARNP, FNP-C's National Provider Identifier (NPI) is 1043884547, issued on May 18, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Zachary Ryan Garland, MSN, ARNP, FNP-C located?

The NPPES record lists a practice address at 336 Chardonnay Ave Ste A, Prosser, WA, 99350. Phone: (509) 786-1576. Providers update this record themselves, so call before visiting.

How can I verify Zachary Ryan Garland, MSN, ARNP, FNP-C's license?

NPPES lists Washington license number AP61182361, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.

How much does Zachary Ryan Garland, MSN, ARNP, FNP-C prescribe under Medicare Part D?

In 2024, Zachary Ryan Garland, MSN, ARNP, FNP-C had 1,260 Medicare Part D claims for 281 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.

What is Zachary Ryan Garland, MSN, ARNP, FNP-C's MIPS final score?

The 2023 MIPS final score is 88.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.