Danielle Speer, NP
Adult Health Nurse Practitioner in Newport, Vermont.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,811 in Adult Health 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.
What the federal data shows
Danielle Speer, NP reported a CMS MIPS final score of 90.1/100 - above the 83.5 national average - and filed 412 Medicare Part D claims in 2024.
- 90.1/100
- MIPS score · +7 vs avg
- 412
- Part D claims, 2024
- ≥58th
- 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 Danielle Speer, 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 1003949926), first enumerated 03/13/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 412 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 90.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
3 CMS Care Compare hospital affiliations 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.
CMS NPPES provider registry desk
NPI 1003949926 · Adult Health Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MID · MIPS-ABOVE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1003949926
- ENUM-MID 2007
- TAX-MID 30K Adult Health
- MIPS-ABOVE 90.1/100
- RX-LIGHT 412
- BOOK-THIN 100 in Vermont
- PHOTO-FINISH Rachel Jeffers, NP · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- David Diina, ANP…
David Diina, ANP
90 MIPS pts
- Speer · this pro…
Speer · this provider
90.1 MIPS pts
- Diane Stearns, A…
Diane Stearns, APRN
90.1 MIPS pts
- Rachel Jeffers, …
Rachel Jeffers, NP
90.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Danielle Speer, 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.
90 ≥ 58th percentile 58% 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
Where Danielle Speer, NP sits
This provider among adult health nurse practitioner peers
Across the 4,201 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Danielle Speer, NP writes more Part D claims than 51% of them and scores higher on MIPS quality than 58% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Danielle Speer, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Danielle Speer, NP?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Vermont
How Adult Health Nurse Practitioner compares to other specialties among Vermont providers
Adult Health Nurse Practitioner ranks #38 among Vermont's specialties (0.6% of in-state providers)
Each bar is a specialty's share of the Vermont provider total, by primary NUCC taxonomy. The highlighted bar is Adult Health Nurse Practitioner; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Danielle Speer, NP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average
- MIPS Final Score
- 90.1/100
- vs 83.5 national avg · 2023 performance year
Quality benchmarks
- National MIPS avg 2023 measured reporting year
- Cost dim CMS Cost category
- Specialty volume Adult Health Nurse Practitioner US NPIs
90.1/100 MIPS final score - 6.6 pts above the 83.5 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Adult Health Nurse Practitioner. Cost dim: 50.2.
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 | 1003949926 |
|---|---|
| Specialty | Adult Health Nurse Practitioner |
| Credentials | NP |
| Gender | Female |
| NPI Issued | 03/13/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Danielle Speer, NP's current license status, disciplinary history, and board certifications with the Vermont Board of Medical Practice in Vermont before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1003949926 is the unique 10-digit identifier CMS uses to link Speer across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where Danielle Speer, 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.
According to CMS billing records, Danielle Speer, NP is affiliated with 3 Medicare-billing facilities across 2 states, 1 of which carry a CMS Hospital overall star rating.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
Prescribing Breakdown
- 30-Day Fills
- 578.833
- Total Day Supply
- 15,856
- Generic Drug Cost
- $8K
Patient Demographics
- Average Patient Age
- 69.8 years
- Avg HCC Risk Score
- 1.04
- Gender Split
- 52% female / 48% male
- Age Distribution
- <65: 12, 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 Danielle Speer, NP prescribes most
Top Medicare Part D drugs by claim count, 2024
- Ropinirole Hcl
Ropinirole Hcl
145 claims
- Gabapentin 54
Gabapentin
54 claims
- Zolpidem Tartrate 45
Zolpidem Tartrate
45 claims
- Modafinil 30
Modafinil
30 claims
- Methylphenidate Hcl 25
Methylphenidate Hcl
25 claims
- Doxepin Hcl 21
Doxepin Hcl
21 claims
- Clonazepam 16
Clonazepam
16 claims
- Pilocarpine Hcl 14
Pilocarpine Hcl
14 claims
| Drug | Claims |
|---|---|
| Ropinirole Hcl | 145 |
| Gabapentin | 54 |
| Zolpidem Tartrate | 45 |
| Modafinil | 30 |
| Methylphenidate Hcl | 25 |
| Doxepin Hcl | 21 |
| Clonazepam | 16 |
| Pilocarpine Hcl | 14 |
| Pramipexole Dihydrochloride Pramipexole Di-Hcl | 13 |
| Armodafinil | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Health Nurse Practitioner Overview
How Danielle Speer, NP fits within the Adult Health Nurse Practitioner landscape nationally.
Danielle Speer, NP's 412 claims are below the specialty average of 1,291.
Nationwide Adult Health Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Speer, both outside Vermont so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (90.1 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult Health Nurse Practitioner Providers in Vermont
Other clinicians with the same primary specialty enrolled in Vermont, drawn from the same CMS NPPES roster as Speer.
One of 100 Adult Health Nurse Practitioner providers enrolled in Vermont, 5 are shown here.
Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Danielle Speer, NP's specialty? ▼
How much does Danielle Speer, NP prescribe under Medicare Part D? ▼
What is Danielle Speer, NP's Medicare quality score? ▼
Where is Danielle Speer, NP located? ▼
What is Danielle Speer, NP's NPI number? ▼
How many Adult Health Nurse Practitioner providers are there in the US? ▼
What drugs does Danielle Speer, NP prescribe most often? ▼
Does Danielle Speer, NP accept Medicare? ▼
How can I verify Danielle Speer, NP's credentials? ▼
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.
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