NPI registry status
Active
2026 NPPES data Nurse Practitioner NPI 1164722518 FNP-BC
Verify on CMS → Brenda Fischer, FNP-BC
Nurse Practitioner in Sheridan, Wyoming.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,700 in 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
95
Medicare Part D claims · 31 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
71.6/100
▼ 11 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Brenda Fischer, FNP-BC reported a CMS MIPS final score of 71.6/100 - below the 83.1 national average - and filed 95 Medicare Part D claims in 2023.
- 71.6/100
- MIPS score · -11 vs avg
- 95
- Part D claims, 2023
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.
Brenda Fischer, 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
72 9th percentile higher than 9% of 477,587 scored providers
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 Brenda Fischer, FNP-BC sits
This provider among nurse practitioner peers
Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Brenda Fischer, FNP-BC writes more Part D claims than 20% of them and scores higher on MIPS quality than 8% - placing this provider in the lower-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
Each dot is one nurse practitioner peer from a representative sample of 60; the gold marker is Brenda Fischer, 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 Brenda Fischer, FNP-BC?
Below national averagePrimary specialty
Nurse Practitioner
Medicare Part D claims
95 91% vs specialty avg
MIPS final score
71.6/100 11.5 pts vs avg
Specialty distribution in Wyoming
How Nurse Practitioner compares to other specialties among Wyoming providers
Medicare quality performance, MIPS
Brenda Fischer, FNP-BC's 2023 MIPS final score plotted against the Nurse Practitioner national average
- MIPS Final Score
- 71.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nurse Practitioner) - 71.6/100 vs national avg 83.1
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).
Brenda Fischer, FNP-BC appears in the CMS NPPES registry as a Nurse Practitioner provider holding FNP-BC credentials at 1401 W 5TH ST, Sheridan, WY, 82801, with a listed phone of (307) 675-2667. NPI 1164722518 was issued on 11/01/2010.
Medicare Part D records for calendar year 2023 show 95 prescription claims written by this provider, covering 31 Medicare beneficiaries and totaling roughly $6K in drug spend, with an opioid prescribing rate of 14.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 71.6/100 for the 2023 performance year (Quality 60.8, Cost 48.7), compared with the national average of 83.1.
Nurse Practitioner is a high-volume specialty nationwide, with 87,700 enrolled providers across 56 states and an average of 1,084 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
Provider Details
| NPI | 1164722518 |
|---|---|
| Specialty | Nurse Practitioner |
| Credentials | FNP-BC |
| Gender | Female |
| NPI Issued | 11/01/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
71.601
Final Score
Avg: 83.1
60.8022
Quality
48.701
Cost
95
Promoting Interoperability
Reporting: Group practice
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
95
Total Claims
$6K
Total Drug Cost
31
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 124
- Total Day Supply
- 3,284
- Generic Drug Cost
- $1K
- Opioid Claims
- 14 (14.7% rate)
Patient Demographics
- Average Patient Age
- 80.1 years
- Avg HCC Risk Score
- 1.44
Nurse Practitioner Overview
How Brenda Fischer, FNP-BC fits within the Nurse Practitioner landscape nationally.
87,700
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider
Brenda Fischer, FNP-BC's 95 claims are below the specialty average of 1,084.
Nearby Nurse Practitioner Providers in Wyoming
Other clinicians with the same primary specialty enrolled in Wyoming, drawn from the same CMS NPPES roster as Fischer.
Dr. Hilary Adams
ARNP
Laramie, WY
Dr. Cassie Amadio
NP-C
Casper, WY
Serge Andreyeff
Sheridan, WY
Dr. Sharon Bailey
DNP
Jackson, WY
Dr. Jacklyn Baker
APRN
Gillette, WY
Compare 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 Wyoming medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby 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.
Healthcare Guides
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How to Find a Doctor
Step-by-step guide to choosing a provider
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Wyoming
Frequently Asked Questions
What is Brenda Fischer, FNP-BC's specialty? ▼
Brenda Fischer, FNP-BC specializes in Nurse Practitioner and practices in Sheridan, Wyoming. Credentials: FNP-BC.
How much does Brenda Fischer, FNP-BC prescribe under Medicare Part D? ▼
In 2023, Brenda Fischer, FNP-BC wrote 95 Medicare Part D claims totaling $6K in drug costs for 31 beneficiaries.
What is Brenda Fischer, FNP-BC's Medicare quality score? ▼
Brenda Fischer, FNP-BC has a CMS MIPS Final Score of 71.6/100 (Quality: 60.8, Cost: 48.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Brenda Fischer, FNP-BC located? ▼
Brenda Fischer, FNP-BC is located at 1401 W 5TH ST, Sheridan, WY, 82801. Phone: (307) 675-2667.
What is Brenda Fischer, FNP-BC's NPI number? ▼
Brenda Fischer, FNP-BC's National Provider Identifier (NPI) is 1164722518, issued on 11/01/2010.
Does Brenda Fischer, FNP-BC prescribe opioids? ▼
Yes, Brenda Fischer, FNP-BC had 14 opioid claims in 2023 with an opioid prescribing rate of 14.7%.
How many Nurse Practitioner providers are there in the US? ▼
There are 87,700 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
Does Brenda Fischer, FNP-BC accept Medicare? ▼
Brenda Fischer, FNP-BC appears in CMS Medicare data with 95 Part D claims and 31 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Brenda Fischer, FNP-BC's credentials? ▼
Brenda Fischer, FNP-BC's NPI is 1164722518 with credentials 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
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 PlainDoctor editorial team.
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.