NPI registry status
Active
2026 NPPES data Case Management Registered Nurse NPI 1467019182 PMH-NP
Verify on CMS → Colleen Gilley, PMH-NP
Case Management Registered Nurse in Bangor, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 5,736 in Case Management Registered Nurse, 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
4K
Medicare Part D claims · 323 beneficiaries · Case Management Registered Nurse avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Colleen Gilley, PMH-NP reported a CMS MIPS final score of 100/100 - above the 83.5 national average - and filed 4,365 Medicare Part D claims in 2024.
- 100/100
- MIPS score · +17 vs avg
- 4K
- Part D claims, 2024
- 93%
- generic prescribing
- ≥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 Colleen Gilley, PMH-NP
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 1467019182), first enumerated 05/29/2019.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 4,365 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
- 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.
Compare Gilley with other Case Management Registered Nurse providers
Same primary specialty, same federal CMS NPPES roster.
Also enrolled in Maine
- Tammy Acker, RN Auburn, ME
- Laura Bouchard, RN Millinocket, ME
- Kraig Burbine, RN Newport, ME
- Glenda Capps, REGISTERED NURSE Presque Isle, ME
- Brenda Duggan, RN Milbridge, ME
- Crystal Fortin, RN Augusta, ME
Other specialties in Bangor: Clinical Social Worker (315) · Student in an Organized Health Care Education/Training Program (146) · Addiction (Substance Use Disorder) Counselor (139) · Pharmacist (127)
CMS NPPES provider registry desk
NPI 1467019182 · Case Management Registered Nurse
NPI-10 · ENUM-RECENT · TAX-MID · MIPS-ELITE · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1467019182
- ENUM-RECENT 2019
- TAX-MID 6K Case Management
- MIPS-ELITE 100/100
- RX-MID 4,365
- BOOK-THIN 21 in Maine
- PHOTO-FINISH Ashley Owens, APRN,… · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Jennifer Jolly, …
Jennifer Jolly, APNP
84.6 MIPS pts
- Rochelle Colchic…
Rochelle Colchico, RN, MSN, PMHNP-BC
85.7 MIPS pts
- Susan Houston, D…
Susan Houston, DNP, AGNP-C
98.3 MIPS pts
- Gilley · this pr…
Gilley · this provider
100 MIPS pts
- Ashley Owens, AP…
Ashley Owens, APRN, CNP-BC
100 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Colleen Gilley, PMH-NP'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
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
What does the federal data show about Colleen Gilley, PMH-NP?
High performer (top quartile)Primary specialty
Case Management Registered Nurse
Medicare Part D claims
4,365 334% vs specialty avg
MIPS final score
100/100 16.5 pts vs avg
Specialty distribution in Maine
How Case Management Registered Nurse compares to other specialties among Maine providers
Medicare quality performance, MIPS
Colleen Gilley, PMH-NP's 2023 MIPS final score plotted against the Case Management Registered Nurse national average
- MIPS Final Score
- 100/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1467019182 |
|---|---|
| Specialty | Case Management Registered Nurse |
| Credentials | PMH-NP |
| Gender | Female |
| NPI Issued | 05/29/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Measured-score avg: 83.5
91.1147
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Colleen Gilley, PMH-NP 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.
Acadia Hospital Corp.
Bangor, ME
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 · Generic-heavy
Colleen Gilley, PMH-NP - brand share 7.0%
Case Management Registered Nurse average
7% brand-name claims vs 93% generic, on 4,365 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.
4,365
Total Claims
$736K
Total Drug Cost
323
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 5,406.5
- Total Day Supply
- 156,806
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $575K
- Generic Drug Cost
- $162K
Patient Demographics
- Average Patient Age
- 51.5 years
- Avg HCC Risk Score
- 1.20
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 254, 65-74: 62, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Colleen Gilley, PMH-NP prescribes most
Top Medicare Part D drugs by claim count, 2024
- Lamotrigine
Lamotrigine
267 claims
- Clonazepam
Clonazepam
238 claims
- Trazodone Hcl
Trazodone Hcl
195 claims
- Buspirone Hcl
Buspirone Hcl
177 claims
- Olanzapine
Olanzapine
175 claims
- Aripiprazole
Aripiprazole
144 claims
- Quetiapine Fumarate
Quetiapine Fumarate
144 claims
- Gabapentin
Gabapentin
138 claims
| Drug | Claims |
|---|---|
| Lamotrigine | 267 |
| Clonazepam | 238 |
| Trazodone Hcl | 195 |
| Buspirone Hcl | 177 |
| Olanzapine | 175 |
| Aripiprazole | 144 |
| Quetiapine Fumarate | 144 |
| Gabapentin | 138 |
| Lurasidone Hcl | 126 |
| Bupropion Xl Bupropion Hcl | 119 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Case Management Registered Nurse Overview
How Colleen Gilley, PMH-NP fits within the Case Management Registered Nurse landscape nationally.
5,736
Case Management Registered Nurse Providers in US
53
States with Case Management Registered Nurse
1,005
Avg Claims per Provider
Colleen Gilley, PMH-NP's 4,365 claims are above the specialty average of 1,005.
Nationwide Case Management Registered Nurse peers with similar MIPS or enrollment year
Two federal-record peer sets for Gilley, both outside Maine so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (100 here).
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Case Management Registered Nurse Providers in Maine
Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as Gilley.
One of 21 Case Management Registered Nurse providers enrolled in Maine, 11 are shown on this page.
Colleen Hotchkiss
RN BSN
Bangor, ME
Brittney Ibbitson
RN
Hinckley, ME
Lori Jacques
RN, CCM
Lewiston, ME
Lisa Kervin
RN
Portland, ME
Breeanna Locke
RNC
Bangor, ME
Compare Case Management Registered Nurse nationally: see state-by-state distribution →
Frequently Asked Questions
What is Colleen Gilley, PMH-NP's specialty? ▼
Colleen Gilley, PMH-NP specializes in Case Management Registered Nurse and practices in Bangor, Maine. Credentials: PMH-NP.
How much does Colleen Gilley, PMH-NP prescribe under Medicare Part D? ▼
In 2024, Colleen Gilley, PMH-NP wrote 4,365 Medicare Part D claims totaling $736K in drug costs for 323 beneficiaries.
What is Colleen Gilley, PMH-NP's Medicare quality score? ▼
Colleen Gilley, PMH-NP has a CMS MIPS Final Score of 100/100 (Quality: 91.1). 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 Colleen Gilley, PMH-NP located? ▼
Colleen Gilley, PMH-NP is located at 268 STILLWATER AVE, Bangor, ME, 04401. Phone: (207) 564-4110.
What is Colleen Gilley, PMH-NP's NPI number? ▼
Colleen Gilley, PMH-NP's National Provider Identifier (NPI) is 1467019182, issued on 05/29/2019.
Does Colleen Gilley, PMH-NP prescribe more brand-name or generic drugs? ▼
Colleen Gilley, PMH-NP's prescribing is 7% brand-name and 93% generic drugs by claim count, with $575K in brand drug costs.
How many Case Management Registered Nurse providers are there in the US? ▼
There are 5,736 Case Management Registered Nurse providers across 53 states in the US. The average Case Management Registered Nurse provider writes 1,005 Medicare Part D claims per year.
What drugs does Colleen Gilley, PMH-NP prescribe most often? ▼
Based on 2024 Medicare Part D data, Colleen Gilley, PMH-NP's most frequently prescribed drugs include Lamotrigine, Clonazepam, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Colleen Gilley, PMH-NP accept Medicare? ▼
Colleen Gilley, PMH-NP appears in CMS Medicare data with 4,365 Part D claims and 323 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Colleen Gilley, PMH-NP's credentials? ▼
Colleen Gilley, PMH-NP's NPI is 1467019182 with credentials PMH-NP. 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
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.