2026 NPPES data Nurse Practitioner NPI 1104874338 FNP
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DACIA GERST, FNP

Nurse Practitioner in CARBONDALE, Illinois. 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
31
Medicare Part D claims · 22 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
10%
generic claims · 90% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.7381/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$267.36
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DACIA GERST, FNP reported a CMS MIPS final score of 75.7381/100 — below the 83.1 national average — and filed 31 Medicare Part D claims in 2023.

75.7381/100
MIPS score · -7 vs avg
31
Part D claims, 2023
10%
generic prescribing
$267.36
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.

DACIA GERST, FNP's MIPS score vs every scored U.S. clinician

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

76 15th percentile higher than 15% 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%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 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

What does the federal data show about DACIA GERST, FNP?

Below national average

NPI registry status

Active

Issued 05/04/2006

NPI 1104874338

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

31 97% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

75.7381/100 7.3618999999999915% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Nurse Practitioner share within Illinois

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Illinois

Medicare quality performance — MIPS

DACIA GERST, FNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
75.7381/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 75.7381/100 vs national avg 83.1

0%100%National avg83%75.7%
MIPS final score (Nurse Practitioner) — 75.7381/100 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).

DACIA GERST, FNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding FNP credentials at 409 W OAK ST, CARBONDALE, IL, 62901, with a listed phone of (618) 529-4455. NPI 1104874338 was issued on 05/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GERST 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 31 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $17K in drug spend, split 90% brand-name and 10% generic by claim count. 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 75.7381/100 for the 2023 performance year (Quality 63.0946, Cost 45.2652), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 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

409 W OAK ST
CARBONDALE, IL 62901

Provider Details

NPI 1104874338
Specialty Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 05/04/2006

CMS Quality Score (MIPS)

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

75.7381
Final Score
Avg: 83.1
63.0946
Quality
45.2652
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DACIA GERST, FNP 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.

SOUTHERN ILLINOIS MEDICAL SERVICES NFP
CARBONDALE, IL

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 DACIA GERST, FNP. Source: openpaymentsdata.cms.gov.

Total received

$267

Largest payer

Boston Scientific Corporation

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.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to DACIA GERST, FNP. To verify DACIA GERST, FNP's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

DACIA GERST, FNP — brand share 90.0%
Specialty average (est.)

90% brand-name claims vs 10% generic, on 31 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.

31
Total Claims
$17K
Total Drug Cost
22
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
32
Total Day Supply
960
Brand vs Generic
90% brand / 10% generic
Brand Drug Cost
$17K

Patient Demographics

Average Patient Age
76.3 years
Avg HCC Risk Score
2.51

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Eliquis
Apixaban
24

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

Nurse Practitioner Overview

How DACIA GERST, FNP fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

DACIA GERST, FNP's 31 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Illinois

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

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

Frequently Asked Questions

What is DACIA GERST, FNP's specialty?
DACIA GERST, FNP specializes in Nurse Practitioner and practices in CARBONDALE, Illinois. Credentials: FNP.
How much does DACIA GERST, FNP prescribe under Medicare Part D?
In 2023, DACIA GERST, FNP wrote 31 Medicare Part D claims totaling $17K in drug costs for 22 beneficiaries.
What is DACIA GERST, FNP's Medicare quality score?
DACIA GERST, FNP has a CMS MIPS Final Score of 75.7381/100 (Quality: 63.0946, Cost: 45.2652). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DACIA GERST, FNP located?
DACIA GERST, FNP is located at 409 W OAK ST, CARBONDALE, IL, 62901. Phone: (618) 529-4455.
What is DACIA GERST, FNP's NPI number?
DACIA GERST, FNP's National Provider Identifier (NPI) is 1104874338, issued on 05/04/2006.
Does DACIA GERST, FNP prescribe more brand-name or generic drugs?
DACIA GERST, FNP's prescribing is 90% brand-name and 10% generic drugs by claim count, with $17K in brand drug costs.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does DACIA GERST, FNP prescribe most often?
Based on 2023 Medicare Part D data, DACIA GERST, FNP's most frequently prescribed drugs include Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DACIA GERST, FNP accept Medicare?
DACIA GERST, FNP appears in CMS Medicare data with 31 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DACIA GERST, FNP's credentials?
DACIA GERST, FNP's NPI is 1104874338 with credentials FNP. 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