2026 NPPES data Family Nurse Practitioner NPI 1184396251 DNP, APRN, FNP-BC
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Ayrika Winters, DNP, APRN, FNP-BC

Family Nurse Practitioner in Marion, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 249 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
21.4/100
▼ 62 pts below national avg 83.1 · Below average
Industry payments
$284.86
17 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Ayrika Winters, DNP, APRN, FNP-BC reported a CMS MIPS final score of 21.4/100 — below the 83.1 national average — and filed 1,944 Medicare Part D claims in 2023.

21.4/100
MIPS score · -62 vs avg
2K
Part D claims, 2023
87%
generic prescribing
$284.86
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.

Ayrika Winters, DNP, APRN, FNP-BC's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

21 3rd percentile higher than 3% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). This entry sits in this band. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Ayrika Winters, DNP, APRN, FNP-BC sits

This provider among family nurse practitioner peers

Across the 27,154 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Ayrika Winters, DNP, APRN, FNP-BC writes more Part D claims than 80% of them and scores higher on MIPS quality than 1% — placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.2Part D claim volume — percentile in specialtyMIPS quality — percentile
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Ayrika Winters, DNP, APRN, FNP-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Ayrika Winters, DNP, APRN, FNP-BC?

Below national average

NPI registry status

Active

Issued 09/28/2021

NPI 1184396251

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

1,944 59% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

21.4/100 61.7 pts vs avg

Below average band

vs 83.1 national avg

Specialty distribution in Kentucky

How Family Nurse Practitioner compares to other specialties among Kentucky providers

Kentucky providers

Largest specialties in Kentucky (% of in-state providers)

Family Nurse Practitioner5.9%Student in an Organized Health Care Education/Training Program5.2%Pharmacist4.8%Mental Health Counselor4.6%Clinical Social Worker4.1%Physical Therapist3.7%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance — MIPS

Ayrika Winters, DNP, APRN, FNP-BC's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
21.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 21.4/100 vs national avg 83.1

0%100%National avg83%21.4%
MIPS final score (Family Nurse Practitioner) — 21.4/100 vs national avg 83.1

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).

Ayrika Winters, DNP, APRN, FNP-BC appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding DNP, APRN, FNP-BC credentials at 518 W GUM ST, Marion, KY, 42064, with a listed phone of (270) 965-5238. NPI 1184396251 was issued on 09/28/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Winters most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,944 prescription claims written by this provider, covering 249 Medicare beneficiaries and totaling roughly $144K in drug spend, split 11% brand-name and 87% generic by claim count, with an opioid prescribing rate of 10.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 21.4/100 for the 2023 performance year (Quality 12.5, Cost 44.7), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

518 W GUM ST
Marion, KY 42064

Provider Details

NPI 1184396251
Specialty Family Nurse Practitioner
Credentials DNP, APRN, FNP-BC
Gender Female
NPI Issued 09/28/2021

CMS Quality Score (MIPS)

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

21.4071
Final Score
Avg: 83.1
12.538
Quality
44.6873
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Ayrika Winters, DNP, APRN, FNP-BC 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.

Crittenden Community Hospital LLC
Marion, KY

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 Ayrika Winters, DNP, APRN, FNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$285

Largest payer

Novo Nordisk 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

Ayrika Winters, DNP, APRN, FNP-BC — brand share 11.0%
Family Nurse Practitioner average

11% brand-name claims vs 87% generic, on 1,944 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.

1,944
Total Claims
$144K
Total Drug Cost
249
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,919
Total Day Supply
77,498
Brand vs Generic
11% brand / 87% generic
Brand Drug Cost
$115K
Generic Drug Cost
$28K
Opioid Claims
202 (10.4% rate)
Antibiotic Claims
131

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.40
Gender Split
57% female / 43% male
Age Distribution
<65: 63, 65-74: 98, 75-84: 68, 85+: 20

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Ayrika Winters, DNP, APRN, FNP-BC 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
132
Gabapentin
88
Metformin Hcl
84
Atorvastatin Calcium
68
Tramadol Hcl
65
Rosuvastatin Calcium
57
Furosemide
50
Amlodipine Besylate
49
Lisinopril
49
Omeprazole
44

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

Family Nurse Practitioner Overview

How Ayrika Winters, DNP, APRN, FNP-BC fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Ayrika Winters, DNP, APRN, FNP-BC's 1,944 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Kentucky

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

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Kentucky medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Ayrika Winters, DNP, APRN, FNP-BC's specialty?
Ayrika Winters, DNP, APRN, FNP-BC specializes in Family Nurse Practitioner and practices in Marion, Kentucky. Credentials: DNP, APRN, FNP-BC.
How much does Ayrika Winters, DNP, APRN, FNP-BC prescribe under Medicare Part D?
In 2023, Ayrika Winters, DNP, APRN, FNP-BC wrote 1,944 Medicare Part D claims totaling $144K in drug costs for 249 beneficiaries.
What is Ayrika Winters, DNP, APRN, FNP-BC's Medicare quality score?
Ayrika Winters, DNP, APRN, FNP-BC has a CMS MIPS Final Score of 21.4/100 (Quality: 12.5, Cost: 44.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ayrika Winters, DNP, APRN, FNP-BC located?
Ayrika Winters, DNP, APRN, FNP-BC is located at 518 W GUM ST, Marion, KY, 42064. Phone: (270) 965-5238.
What is Ayrika Winters, DNP, APRN, FNP-BC's NPI number?
Ayrika Winters, DNP, APRN, FNP-BC's National Provider Identifier (NPI) is 1184396251, issued on 09/28/2021.
Does Ayrika Winters, DNP, APRN, FNP-BC prescribe more brand-name or generic drugs?
Ayrika Winters, DNP, APRN, FNP-BC's prescribing is 11% brand-name and 87% generic drugs by claim count, with $115K in brand drug costs.
Does Ayrika Winters, DNP, APRN, FNP-BC prescribe opioids?
Yes, Ayrika Winters, DNP, APRN, FNP-BC had 202 opioid claims in 2023 with an opioid prescribing rate of 10.4%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Ayrika Winters, DNP, APRN, FNP-BC prescribe most often?
Based on 2023 Medicare Part D data, Ayrika Winters, DNP, APRN, FNP-BC's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ayrika Winters, DNP, APRN, FNP-BC accept Medicare?
Ayrika Winters, DNP, APRN, FNP-BC appears in CMS Medicare data with 1,944 Part D claims and 249 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ayrika Winters, DNP, APRN, FNP-BC's credentials?
Ayrika Winters, DNP, APRN, FNP-BC's NPI is 1184396251 with credentials DNP, APRN, FNP-BC. 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

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