NPI registry status
Active
2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1881772929 APRN,CNS
Verify on CMS → Adele Palazzo, APRN,CNS
Psychiatric/Mental Health Nurse Practitioner in Cranston, Rhode Island.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,776 in Psychiatric/Mental Health 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
5K
Medicare Part D claims · 405 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
27/100
▼ 57 pts below national avg 83.5 · Below average
Industry payments
$421.67
33 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Adele Palazzo, APRN,CNS reported a CMS MIPS final score of 27/100 - below the 83.5 national average - and filed 5,017 Medicare Part D claims in 2023.
- 27/100
- MIPS score · -57 vs avg
- 5K
- Part D claims, 2023
- 97%
- generic prescribing
- $421.67
- industry payments (Sunshine Act)
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.
CMS NPPES provider registry desk
NPI 1881772929 · Psychiatric/Mental Health Nurse Practitioner
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1881772929
- ENUM-LEGACY 2006
- TAX-MID 41K Psychiatric/Mental Health
- MIPS-LOW 27/100
- RX-MID 5,017
- BOOK-THIN 186 in Rhode Island
- PHOTO-FINISH Lora Hearn · ±0.3
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Palazzo · this p…
Palazzo · this provider
27 MIPS pts
- Lora Hearn · near
Lora Hearn
27.3 MIPS pts
- Brandy Clark · n…
Brandy Clark
27.5 MIPS pts
- Bernadette Frye …
Bernadette Frye
27.8 MIPS pts
- Marisol Ramirez …
Marisol Ramirez
28.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Adele Palazzo, APRN,CNS'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.
27 ≥ 3rd percentile 3% 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 Adele Palazzo, APRN,CNS sits
This provider among psychiatric/mental health nurse practitioner peers
Across the 1,808 psychiatric/mental health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Adele Palazzo, APRN,CNS writes more Part D claims than 96% of them and scores higher on MIPS quality than 2% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one psychiatric/mental health nurse practitioner peer from a representative sample of 60; the gold marker is Adele Palazzo, APRN,CNS. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Adele Palazzo, APRN,CNS?
Below national averagePrimary specialty
Psychiatric/Mental Health Nurse Practitioner
Medicare Part D claims
5,017 5× vs specialty avg
MIPS final score
27/100 56.5 pts vs avg
Specialty distribution in Rhode Island
How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Rhode Island providers
Medicare quality performance, MIPS
Adele Palazzo, APRN,CNS's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average
- MIPS Final Score
- 27/100
- 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 | 1881772929 |
|---|---|
| Specialty | Psychiatric/Mental Health Nurse Practitioner |
| Credentials | APRN,CNS |
| Gender | Female |
| NPI Issued | 11/02/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
26.9952
Final Score
Measured-score avg: 83.5
0
Quality
89.984
Cost
Reporting: Individual
Hospital and facility affiliations
Facilities where Adele Palazzo, APRN,CNS 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.
Garden City Psychiatry LLC
Cranston, RI
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 Adele Palazzo, APRN,CNS. Source: openpaymentsdata.cms.gov.
Total received
$422
Largest payer
Otsuka America Pharmaceutical, Inc.
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.
Brand vs generic prescribing mix · Generic-heavy
Adele Palazzo, APRN,CNS - brand share 3.0%
Psychiatric/Mental Health Nurse Practitioner average
3% brand-name claims vs 97% generic, on 5,017 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.
5,017
Total Claims
$247K
Total Drug Cost
405
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 9,472
- Total Day Supply
- 282,855
- Brand vs Generic
- 3% brand / 97% generic
- Brand Drug Cost
- $101K
- Generic Drug Cost
- $146K
Patient Demographics
- Average Patient Age
- 70.0 years
- Avg HCC Risk Score
- 0.97
- Gender Split
- 79% female / 21% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Adele Palazzo, APRN,CNS prescribes most
Top Medicare Part D drugs by claim count, 2023
- Escitalopram Oxalate
Escitalopram Oxalate
512 claims
- Lorazepam
Lorazepam
489 claims
- Venlafaxine Hcl Er
Venlafaxine Hcl Er
411 claims
- Bupropion Xl
Bupropion Xl
395 claims
- Lamotrigine
Lamotrigine
353 claims
- Clonazepam
Clonazepam
320 claims
- Trazodone Hcl
Trazodone Hcl
264 claims
- Mirtazapine
Mirtazapine
211 claims
| Drug | Claims |
|---|---|
| Escitalopram Oxalate | 512 |
| Lorazepam | 489 |
| Venlafaxine Hcl Er Venlafaxine Hcl | 411 |
| Bupropion Xl Bupropion Hcl | 395 |
| Lamotrigine | 353 |
| Clonazepam | 320 |
| Trazodone Hcl | 264 |
| Mirtazapine | 211 |
| Dextroamphetamine-Amphetamine Dextroamphetamine/Amphetamine | 207 |
| Duloxetine Hcl | 205 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Psychiatric/Mental Health Nurse Practitioner in RI →
All providers in Rhode Island →
Compare specialties →
Psychiatric/Mental Health Nurse Practitioner Overview
How Adele Palazzo, APRN,CNS fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.
40,776
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider
Adele Palazzo, APRN,CNS's 5,017 claims are above the specialty average of 927.
Nationwide Psychiatric/Mental Health Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Palazzo, both outside Rhode Island so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (27 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Rhode Island
Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as Palazzo.
One of 186 Psychiatric/Mental Health Nurse Practitioner providers enrolled in Rhode Island, 5 are shown here.
Dr. Julianne Abramson
FNP, PMHNP
West Warwick, RI
Dr. Munirat Adebimpe
PMHNP-BC
Providence, RI
Dr. Falashade Adewuyi
PMHNP-BC
Providence, RI
Dr. Katelyn Agnew
PMHNP-BC
Riverside, RI
Dr. Linda Aguiar
PMHNP-BC
Providence, RI
Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Adele Palazzo, APRN,CNS's specialty? ▼
Adele Palazzo, APRN,CNS specializes in Psychiatric/Mental Health Nurse Practitioner and practices in Cranston, Rhode Island. Credentials: APRN,CNS.
How much does Adele Palazzo, APRN,CNS prescribe under Medicare Part D? ▼
In 2023, Adele Palazzo, APRN,CNS wrote 5,017 Medicare Part D claims totaling $247K in drug costs for 405 beneficiaries.
What is Adele Palazzo, APRN,CNS's Medicare quality score? ▼
Adele Palazzo, APRN,CNS has a CMS MIPS Final Score of 27/100 (Quality: 0, Cost: 90). 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 Adele Palazzo, APRN,CNS located? ▼
Adele Palazzo, APRN,CNS is located at 75 SOCKANOSSET CROSS RD STE 110, Cranston, RI, 02920. Phone: (401) 946-6400.
What is Adele Palazzo, APRN,CNS's NPI number? ▼
Adele Palazzo, APRN,CNS's National Provider Identifier (NPI) is 1881772929, issued on 11/02/2006.
Does Adele Palazzo, APRN,CNS prescribe more brand-name or generic drugs? ▼
Adele Palazzo, APRN,CNS's prescribing is 3% brand-name and 97% generic drugs by claim count, with $101K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US? ▼
There are 40,776 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does Adele Palazzo, APRN,CNS prescribe most often? ▼
Based on 2023 Medicare Part D data, Adele Palazzo, APRN,CNS's most frequently prescribed drugs include Escitalopram Oxalate, Lorazepam, Venlafaxine Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Adele Palazzo, APRN,CNS accept Medicare? ▼
Adele Palazzo, APRN,CNS appears in CMS Medicare data with 5,017 Part D claims and 405 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Adele Palazzo, APRN,CNS's credentials? ▼
Adele Palazzo, APRN,CNS's NPI is 1881772929 with credentials APRN,CNS. 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.
- 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 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
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 May 2026.