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2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1609218304 ARNP
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Amanda Garr, ARNP

Psychiatric/Mental Health Nurse Practitioner in Fort Madison, Iowa.

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
6K
Medicare Part D claims · 204 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.8/100
▼ 6 pts below national avg 83.5 · Above neutral
Industry payments
$1.0K
60 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Amanda Garr, ARNP reported a CMS MIPS final score of 77.8/100 - below the 83.5 national average - and filed 5,811 Medicare Part D claims in 2023.

77.8/100
MIPS score · -6 vs avg
6K
Part D claims, 2023
90%
generic prescribing
$1.0K
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 1609218304 · Psychiatric/Mental Health Nurse Practitioner

NPI-10 · ENUM-MID · TAX-MID · MIPS-BELOW · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1609218304
  • ENUM-MID 2013
  • TAX-MID 41K Psychiatric/Mental Health
  • MIPS-BELOW 77.8/100
  • RX-MID 5,811
  • BOOK-THIN 462 in Iowa
  • PHOTO-FINISH Tina Myer · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Amanda Garr, ARNP'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.

78 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Amanda Garr, ARNP 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, Amanda Garr, ARNP writes more Part D claims than 97% of them and scores higher on MIPS quality than 19% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 33Amanda Garr, ARNP, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 19
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one psychiatric/mental health nurse practitioner peer from a representative sample of 60; the gold marker is Amanda Garr, ARNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Amanda Garr, ARNP?

Below national average

NPI registry status

Active

Issued 07/23/2013

NPI 1609218304

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

40,776 US NPIs in this specialty

Medicare Part D claims

5,811 6× vs specialty avg

2023 prescription claims

Specialty avg: 927

MIPS final score

77.8/100 5.7 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Iowa

How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Iowa providers

Iowa providers
Pharmacist6.6%Physical Therapist5.5%Mental Health Counselor5%Family Medicine Physician4.8%Chiropractor4.2%Clinical Social Worker4.1%Psychiatric/Mental Health Nu…1%
Largest specialties in Iowa (% of in-state providers)

Medicare quality performance, MIPS

Amanda Garr, ARNP's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average

Below national average
MIPS Final Score
77.8/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%77.8%
MIPS final score (Psychiatric/Mental Health Nurse Practitioner) - 77.8/100 vs national avg 83.5
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

5409 AVENUE O
Fort Madison, IA 52627
(319) 376-2134

Provider Details

NPI 1609218304
Specialty Psychiatric/Mental Health Nurse Practitioner
Credentials ARNP
Gender Female
NPI Issued 07/23/2013

CMS Quality Score (MIPS)

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

77.8186
Final Score
Measured-score avg: 83.5
67.6256
Quality
58.4365
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Amanda Garr, 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.

Community Health Centers OF Southeastern Iowa Inc
West Burlington, IA

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 Amanda Garr, ARNP. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

Largest payer

Teva Pharmaceuticals USA, 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 · Typical

Amanda Garr, ARNP - brand share 10.0%
Psychiatric/Mental Health Nurse Practitioner average

10% brand-name claims vs 90% generic, on 5,811 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.

5,811
Total Claims
$1.1M
Total Drug Cost
204
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,765
Total Day Supply
199,682
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$967K
Generic Drug Cost
$173K

Patient Demographics

Average Patient Age
61.4 years
Avg HCC Risk Score
1.30
Gender Split
63% female / 37% male
Age Distribution
<65: 107, 65-74: 67, 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 Amanda Garr, ARNP 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
Alprazolam
 608
Lamotrigine
 388
Desvenlafaxine Succinate Er
Desvenlafaxine Succinate
277
Duloxetine Hcl
 242
Lorazepam
 240
Clonazepam
 235
Buspirone Hcl
 216
Trazodone Hcl
 186
Dextroamphetamine-Amphetamine
Dextroamphetamine/Amphetamine
140
Escitalopram Oxalate
 139

* 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 IA → All providers in Iowa → Compare specialties →

Psychiatric/Mental Health Nurse Practitioner Overview

How Amanda Garr, ARNP 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

Amanda Garr, ARNP's 5,811 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 Garr, both outside Iowa so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (77.8 here).

Tina Myer 77.8 VA Johnson Babayemi 77.7 NJ Jimmy Dorcely 77.7 NJ Mary Ann Foley-Mayer 77.7 NJ

Same NPPES enumeration year (2013)

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

Rachel Peckham Troy, OH Teegan Ogiela Danbury, CT Matthew Hunt Austin, TX Laura Romano Hamilton, NJ

Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Iowa

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

One of 462 Psychiatric/Mental Health Nurse Practitioner providers enrolled in Iowa, 5 are shown here.

Dr. Noel Adams
ARNP
Marion, IA
Dr. Rosemary Ajibade
PMHNP
Iowa City, IA
Dr. Merve Akova
PMHNP
Waterloo, IA
Dr. Nan Ambrosy
DNP, ARNP
Des Moines, IA
Dr. Kristen Andersen
PMHNP-BC
Mason City, IA

Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Amanda Garr, ARNP's specialty? ▼
Amanda Garr, ARNP specializes in Psychiatric/Mental Health Nurse Practitioner and practices in Fort Madison, Iowa. Credentials: ARNP.
How much does Amanda Garr, ARNP prescribe under Medicare Part D? ▼
In 2023, Amanda Garr, ARNP wrote 5,811 Medicare Part D claims totaling $1.1M in drug costs for 204 beneficiaries.
What is Amanda Garr, ARNP's Medicare quality score? ▼
Amanda Garr, ARNP has a CMS MIPS Final Score of 77.8/100 (Quality: 67.6, Cost: 58.4). 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 Amanda Garr, ARNP located? ▼
Amanda Garr, ARNP is located at 5409 AVENUE O, Fort Madison, IA, 52627. Phone: (319) 376-2134.
What is Amanda Garr, ARNP's NPI number? ▼
Amanda Garr, ARNP's National Provider Identifier (NPI) is 1609218304, issued on 07/23/2013.
Does Amanda Garr, ARNP prescribe more brand-name or generic drugs? ▼
Amanda Garr, ARNP's prescribing is 10% brand-name and 90% generic drugs by claim count, with $967K 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 Amanda Garr, ARNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Amanda Garr, ARNP's most frequently prescribed drugs include Alprazolam, Lamotrigine, Desvenlafaxine Succinate Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Amanda Garr, ARNP accept Medicare? ▼
Amanda Garr, ARNP appears in CMS Medicare data with 5,811 Part D claims and 204 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Amanda Garr, ARNP's credentials? ▼
Amanda Garr, ARNP's NPI is 1609218304 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 (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

Compiled from official public sources by the editorial process.

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.