NPI registry status
Active
2026 NPPES data Primary Care Nurse Practitioner NPI 1881337806 DNP
Verify on CMS → Britton Lerch, DNP
Primary Care Nurse Practitioner in Waterloo, 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 10,138 in Primary Care 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
1K
Medicare Part D claims · 157 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Britton Lerch, DNP filed 1,309 Medicare Part D claims in 2023 as a Primary Care Nurse Practitioner in Waterloo, Iowa, prescribing 85% generic.
- 1K
- Part D claims, 2023
- 85%
- generic prescribing
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.
Britton Lerch, DNP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,309 Top 21% higher than 79% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Britton Lerch, DNP?
Quality data not reportedPrimary specialty
Primary Care Nurse Practitioner
Medicare Part D claims
1,309 4% vs specialty avg
Specialty distribution in Iowa
How Primary Care Nurse Practitioner compares to other specialties among Iowa 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 Primary Care Nurse Practitioner. 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).
Britton Lerch, DNP appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider holding DNP credentials at 201 W RIDGEWAY AVE, Waterloo, IA, 50701, with a listed phone of (319) 234-7777. NPI 1881337806 was issued on 04/18/2022.
Medicare Part D records for calendar year 2023 show 1,309 prescription claims written by this provider, covering 157 Medicare beneficiaries and totaling roughly $68K in drug spend, split 14% brand-name and 85% generic by claim count, with an opioid prescribing rate of 12.3%.
Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 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 | 1881337806 |
|---|---|
| Specialty | Primary Care Nurse Practitioner |
| Credentials | DNP |
| Gender | Female |
| NPI Issued | 04/18/2022 |
Hospital and facility affiliations
Facilities where Britton Lerch, DNP 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.
CH Specialty Services IA PC
Osceola, IA
Curana Health OF Iowa PLLC
Osceola, 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).
Brand vs generic prescribing mix · Typical
Britton Lerch, DNP - brand share 14.0%
Primary Care Nurse Practitioner average
14% brand-name claims vs 85% generic, on 1,309 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.
1,309
Total Claims
$68K
Total Drug Cost
157
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,333
- Total Day Supply
- 25,899
- Brand vs Generic
- 14% brand / 85% generic
- Brand Drug Cost
- $47K
- Generic Drug Cost
- $20K
- Opioid Claims
- 161 (12.3% rate)
- Antibiotic Claims
- 43
Patient Demographics
- Average Patient Age
- 79.0 years
- Avg HCC Risk Score
- 2.41
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 17, 65-74: 37, 75-84: 51, 85+: 52
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Britton Lerch, DNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tramadol Hcl
Tramadol Hcl
68 claims
- Lorazepam
Lorazepam
59 claims
- Trazodone Hcl
Trazodone Hcl
57 claims
- Lisinopril
Lisinopril
52 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
51 claims
- Warfarin Sodium
Warfarin Sodium
49 claims
- Sertraline Hcl
Sertraline Hcl
40 claims
- Furosemide
Furosemide
37 claims
| Drug | Claims |
|---|---|
| Tramadol Hcl | 68 |
| Lorazepam | 59 |
| Trazodone Hcl | 57 |
| Lisinopril | 52 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 51 |
| Warfarin Sodium | 49 |
| Sertraline Hcl | 40 |
| Furosemide | 37 |
| Jardiance Empagliflozin | 34 |
| Eliquis Apixaban | 33 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Primary Care Nurse Practitioner Overview
How Britton Lerch, DNP fits within the Primary Care Nurse Practitioner landscape nationally.
10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider
Britton Lerch, DNP's 1,309 claims are below the specialty average of 1,363.
Nearby Primary Care Nurse Practitioner Providers in Iowa
Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as Lerch.
Roha Abera
Sioux City, IA
Dr. Jodi Bangasser
ARNP
Waverly, IA
Dr. Rachel Benson
DNP, ARNP
Cedar Falls, IA
Hayle Bockenstedt
Dyersville, IA
Molly Brecht
West Des Moines, IA
Compare Primary Care 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 Iowa medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Primary Care 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.
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Frequently Asked Questions
What is Britton Lerch, DNP's specialty? ▼
Britton Lerch, DNP specializes in Primary Care Nurse Practitioner and practices in Waterloo, Iowa. Credentials: DNP.
How much does Britton Lerch, DNP prescribe under Medicare Part D? ▼
In 2023, Britton Lerch, DNP wrote 1,309 Medicare Part D claims totaling $68K in drug costs for 157 beneficiaries.
Where is Britton Lerch, DNP located? ▼
Britton Lerch, DNP is located at 201 W RIDGEWAY AVE, Waterloo, IA, 50701. Phone: (319) 234-7777.
What is Britton Lerch, DNP's NPI number? ▼
Britton Lerch, DNP's National Provider Identifier (NPI) is 1881337806, issued on 04/18/2022.
Does Britton Lerch, DNP prescribe more brand-name or generic drugs? ▼
Britton Lerch, DNP's prescribing is 14% brand-name and 85% generic drugs by claim count, with $47K in brand drug costs.
Does Britton Lerch, DNP prescribe opioids? ▼
Yes, Britton Lerch, DNP had 161 opioid claims in 2023 with an opioid prescribing rate of 12.3%.
How many Primary Care Nurse Practitioner providers are there in the US? ▼
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does Britton Lerch, DNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Britton Lerch, DNP's most frequently prescribed drugs include Tramadol Hcl, Lorazepam, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Britton Lerch, DNP accept Medicare? ▼
Britton Lerch, DNP appears in CMS Medicare data with 1,309 Part D claims and 157 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Britton Lerch, DNP's credentials? ▼
Britton Lerch, DNP's NPI is 1881337806 with credentials DNP. 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.
- 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.