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2026 NPPES data Acute Care Clinical Nurse Specialist NPI 1740671676 CNS
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Ashley Struemph, CNS

Acute Care Clinical Nurse Specialist in Columbia, Missouri.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 520 in Acute Care 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
60
Medicare Part D claims · 38 beneficiaries · Acute Care Clinical Nurse Specialist avg: 887
MIPS score
100/100
▲ 17 pts above national avg 83.5 · Exceptional
Industry payments
$50.16
1 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

Ashley Struemph, CNS reported a CMS MIPS final score of 100/100 - above the 83.5 national average - and filed 60 Medicare Part D claims in 2024.

100/100
MIPS score · +17 vs avg
60
Part D claims, 2024
$50.16
industry payments (Sunshine Act)
≥92nd
pct among measured MIPS (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 Ashley Struemph, CNS

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1740671676), first enumerated 02/13/2015.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 60 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 100/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $50.16 in reported industry payments (1 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 1740671676 · Acute Care Clinical Nurse Specialist

NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ELITE · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1740671676
  • ENUM-MID 2015
  • TAX-NARROW 520
  • MIPS-ELITE 100/100
  • RX-TRACE 60
  • BOOK-THIN 11 in Missouri
  • PHOTO-FINISH Wade Bateman · ±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

Ashley Struemph, 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.

100 ≥ 92nd percentile 92% 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%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. 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 Ashley Struemph, CNS sits

This provider among acute care clinical nurse specialist peers

Across the 42 acute care clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Ashley Struemph, CNS writes more Part D claims than 21% of them and scores higher on MIPS quality than 93% - placing this provider in the lower-volume, high-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 quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 54Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 51 · MIPS quality, percentile: 76Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 46Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 56Point, Part D claim volume, percentile in specialty: 54 · MIPS quality, percentile: 59Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 76Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 66Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 76 · MIPS quality, percentile: 34Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 29Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 61 · MIPS quality, percentile: 24Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 39Point, Part D claim volume, percentile in specialty: 39 · MIPS quality, percentile: 44Point, Part D claim volume, percentile in specialty: 24 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 66 · MIPS quality, percentile: 76Point, Part D claim volume, percentile in specialty: 46 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 34 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 41Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 44 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 29 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 41 · MIPS quality, percentile: 61Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 76Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 29Point, Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 46Point, Part D claim volume, percentile in specialty: 49 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 76Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 76Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 71 · MIPS quality, percentile: 71Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 76Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 46Point, Part D claim volume, percentile in specialty: 59 · MIPS quality, percentile: 76Ashley Struemph, CNS, Part D claim volume, percentile in specialty: 21 · MIPS quality, percentile: 93
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one acute care clinical nurse specialist peer from a representative sample of 41; the gold marker is Ashley Struemph, CNS. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Ashley Struemph, CNS?

High performer (top quartile)

NPI registry status

Active

Issued 02/13/2015

NPI 1740671676

Primary specialty

Acute Care Clinical Nurse Specialist

Niche

520 US NPIs in this specialty

Medicare Part D claims

60 93% vs specialty avg

2024 prescription claims

Specialty avg: 887

MIPS final score

100/100 16.5 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Missouri

How Acute Care Clinical Nurse Specialist compares to other specialties among Missouri providers

Missouri providers
Professional Counselor4.8%Pharmacist4.8%Clinical Social Worker4.5%Speech-Language Pathologist4.5%Family Nurse Practitioner4.3%Physical Therapist4%Acute Care Clinical Nurse Sp…0%
Largest specialties in Missouri (% of in-state providers)

Medicare quality performance, MIPS

Ashley Struemph, CNS's 2023 MIPS final score plotted against the Acute Care Clinical Nurse Specialist national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%99%
MIPS final score (Acute Care Clinical Nurse Specialist) - 100/100 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

1 HOSPITAL DR
Columbia, MO 65212
(573) 884-6098

Provider Details

NPI 1740671676
Specialty Acute Care Clinical Nurse Specialist
Credentials CNS
Gender Female
NPI Issued 02/13/2015

CMS Quality Score (MIPS)

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

100
Final Score
Measured-score avg: 83.5
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Ashley Struemph, 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.

The Curators OF The University OF Missouri
Columbia, MO

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 Ashley Struemph, CNS. Source: openpaymentsdata.cms.gov.

Total received

$50

Largest payer

PolyNovo North America LLC

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

60
Total Claims
$1K
Total Drug Cost
38
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
60
Total Day Supply
898
Generic Drug Cost
$1K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
69.2 years
Avg HCC Risk Score
1.89
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Methocarbamol
 16

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

More Acute Care Clinical Nurse Specialist in MO → All providers in Missouri → Compare specialties →

Acute Care Clinical Nurse Specialist Overview

How Ashley Struemph, CNS fits within the Acute Care Clinical Nurse Specialist landscape nationally.

520
Acute Care Clinical Nurse Specialist Providers in US
47
States with Acute Care Clinical Nurse Specialist
887
Avg Claims per Provider

Ashley Struemph, CNS's 60 claims are below the specialty average of 887.

Nationwide Acute Care Clinical Nurse Specialist peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (100 here).

Wade Bateman 100 FL Shelby Fields 100 TX Jennifer Harper 100 TN Megan Wanzer 100 MD

Same NPPES enumeration year (2015)

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

Bryan Ortiz Sierra San Juan, PR Christine Vincent Tulsa, OK Terrie Kiker Oklahoma City, OK Sara White Tulsa, OK

Nearby Acute Care Clinical Nurse Specialist Providers in Missouri

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

One of 11 Acute Care Clinical Nurse Specialist providers enrolled in Missouri, 5 are shown here.

Leah Bond
Rolla, MO
Jena Brown
C.N.S.
Cape Girardeau, MO
Emily Dodd
ACCNS-AG
Saint Louis, MO
Julie Lewis
ACCNS-AG
Columbia, MO
Laquita Lewis
ACNP
Saint Louis, MO

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

Frequently Asked Questions

What is Ashley Struemph, CNS's specialty? ▼
Ashley Struemph, CNS specializes in Acute Care Clinical Nurse Specialist and practices in Columbia, Missouri. Credentials: CNS.
How much does Ashley Struemph, CNS prescribe under Medicare Part D? ▼
In 2024, Ashley Struemph, CNS wrote 60 Medicare Part D claims totaling $1K in drug costs for 38 beneficiaries.
What is Ashley Struemph, CNS's Medicare quality score? ▼
Ashley Struemph, CNS has a CMS MIPS Final Score of 100/100. 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 Ashley Struemph, CNS located? ▼
Ashley Struemph, CNS is located at 1 HOSPITAL DR, Columbia, MO, 65212. Phone: (573) 884-6098.
What is Ashley Struemph, CNS's NPI number? ▼
Ashley Struemph, CNS's National Provider Identifier (NPI) is 1740671676, issued on 02/13/2015.
How many Acute Care Clinical Nurse Specialist providers are there in the US? ▼
There are 520 Acute Care Clinical Nurse Specialist providers across 47 states in the US. The average Acute Care Clinical Nurse Specialist provider writes 887 Medicare Part D claims per year.
What drugs does Ashley Struemph, CNS prescribe most often? ▼
Based on 2024 Medicare Part D data, Ashley Struemph, CNS's most frequently prescribed drugs include Methocarbamol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ashley Struemph, CNS accept Medicare? ▼
Ashley Struemph, CNS appears in CMS Medicare data with 60 Part D claims and 38 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ashley Struemph, CNS's credentials? ▼
Ashley Struemph, CNS's NPI is 1740671676 with credentials 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.
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 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

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 August 2026.