2026 NPPES data Clinical Nurse Specialist NPI 1285990226 APRN, CNS
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Amy Railson, APRN, CNS

Clinical Nurse Specialist in St Cloud, Minnesota.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,760 in Clinical Nurse Specialist, 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
573
Medicare Part D claims · 192 beneficiaries · Clinical Nurse Specialist avg: 1K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$52.16
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Amy Railson, APRN, CNS filed 573 Medicare Part D claims in 2024 as a Clinical Nurse Specialist in St Cloud, Minnesota, prescribing 77% generic.

573
Part D claims, 2024
77%
generic prescribing
$52.16
industry payments (Sunshine Act)
≥65th
pct by Part D claim volume (lower-bound band)

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.

Federal trust snapshot

What official records show about Amy Railson, APRN, CNS

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1285990226), first enumerated 04/04/2012.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 573 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    Industry payment transparency

    $52.16 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1285990226 · Clinical Nurse Specialist

NPI-10 · ENUM-MID · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1285990226
  • ENUM-MID 2012
  • TAX-NARROW 1,760
  • RX-LIGHT 573
  • BOOK-THIN 123 in Minnesota
  • PHOTO-ENUM Louis Pace, C.N.S. · 2012

Amy Railson, APRN, CNS's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

573 ≥ 65th percentile 65% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). Below this entry. 200–400: 188,835 prescribers (13%). Below this entry. 400–600: 95,866 prescribers (7%). This entry sits in this band. 600–800: 60,107 prescribers (4%). Above this entry. 800–1,000: 43,043 prescribers (3%). Above this entry. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

What does the federal data show about Amy Railson, APRN, CNS?

Quality data not reported

NPI registry status

Active

Issued 04/04/2012

NPI 1285990226

Primary specialty

Clinical Nurse Specialist

Niche

1,760 US NPIs in this specialty

Medicare Part D claims

573 43% vs specialty avg

2024 prescription claims

Specialty avg: 1,012

Specialty distribution in Minnesota

How Clinical Nurse Specialist compares to other specialties among Minnesota providers

Minnesota providers
Behavior Technician12%Clinical Social Worker4.7%Physical Therapist4%Pharmacist3.7%Student in an Organized Heal…3.4%Mental Health Counselor3.1%Clinical Nurse Specialist0.1%
Largest specialties in Minnesota (% 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 Clinical Nurse Specialist. 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).

Practice Address

1200 SIXTH AVE N
St Cloud, MN 56303

Provider Details

NPI 1285990226
Specialty Clinical Nurse Specialist
Credentials APRN, CNS
Gender Female
NPI Issued 04/04/2012

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 Amy Railson, APRN, CNS. Source: openpaymentsdata.cms.gov.

Total received

$52

Largest payer

ABIOMED

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

Amy Railson, APRN, CNS - brand share 23.0%
Clinical Nurse Specialist average

23% brand-name claims vs 77% generic, on 573 2024 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 2024.

573
Total Claims
$159K
Total Drug Cost
192
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,423.7
Total Day Supply
41,915
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$147K
Generic Drug Cost
$12K

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
1.67
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Amy Railson, APRN, CNS prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Eliquis
Apixaban
96
Metoprolol Succinate
85
Flecainide Acetate
65
Sotalol
Sotalol Hcl
61
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
52
Metoprolol Tartrate
30
Xarelto
Rivaroxaban
30
Amlodipine Besylate
22
Lisinopril
18
Cartia Xt
Diltiazem Hcl
12

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

Clinical Nurse Specialist Overview

How Amy Railson, APRN, CNS fits within the Clinical Nurse Specialist landscape nationally.

1,760
Clinical Nurse Specialist Providers in US
51
States with Clinical Nurse Specialist
1,012
Avg Claims per Provider

Amy Railson, APRN, CNS's 573 claims are below the specialty average of 1,012.

Nationwide Clinical Nurse Specialist peers with similar MIPS or enrollment year

Two federal-record peer sets for Railson, both outside Minnesota so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2012)

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

Nearby Clinical Nurse Specialist Providers in Minnesota

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

One of 123 Clinical Nurse Specialist providers enrolled in Minnesota, 5 are shown here.

Compare Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Amy Railson, APRN, CNS's specialty?
Amy Railson, APRN, CNS specializes in Clinical Nurse Specialist and practices in St Cloud, Minnesota. Credentials: APRN, CNS.
How much does Amy Railson, APRN, CNS prescribe under Medicare Part D?
In 2024, Amy Railson, APRN, CNS wrote 573 Medicare Part D claims totaling $159K in drug costs for 192 beneficiaries.
Where is Amy Railson, APRN, CNS located?
Amy Railson, APRN, CNS is located at 1200 SIXTH AVE N, St Cloud, MN, 56303. Phone: (320) 656-7020.
What is Amy Railson, APRN, CNS's NPI number?
Amy Railson, APRN, CNS's National Provider Identifier (NPI) is 1285990226, issued on 04/04/2012.
Does Amy Railson, APRN, CNS prescribe more brand-name or generic drugs?
Amy Railson, APRN, CNS's prescribing is 23% brand-name and 77% generic drugs by claim count, with $147K in brand drug costs.
How many Clinical Nurse Specialist providers are there in the US?
There are 1,760 Clinical Nurse Specialist providers across 51 states in the US. The average Clinical Nurse Specialist provider writes 1,012 Medicare Part D claims per year.
What drugs does Amy Railson, APRN, CNS prescribe most often?
Based on 2024 Medicare Part D data, Amy Railson, APRN, CNS's most frequently prescribed drugs include Eliquis, Metoprolol Succinate, Flecainide Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Amy Railson, APRN, CNS accept Medicare?
Amy Railson, APRN, CNS appears in CMS Medicare data with 573 Part D claims and 192 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Amy Railson, APRN, CNS's credentials?
Amy Railson, APRN, CNS's NPI is 1285990226 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.