2026 NPPES data Adult Health Nurse Practitioner NPI 1801264163 DNP
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Danielle Wymard-Tomlinson, DNP

Adult Health Nurse Practitioner in Monroeville, Pennsylvania. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,492 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.

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
35
Medicare Part D claims · Adult Health Nurse Practitioner avg: 1K
MIPS score
93.8/100
▲ 11 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Danielle Wymard-Tomlinson, DNP reported a CMS MIPS final score of 93.8/100 - above the 83.1 national average - and filed 35 Medicare Part D claims in 2023.

93.8/100
MIPS score · +11 vs avg
35
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.

Danielle Wymard-Tomlinson, DNP's MIPS score vs every scored U.S. clinician

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

94 Top 29% higher than 71% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. 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

Where Danielle Wymard-Tomlinson, DNP sits

This provider among adult health nurse practitioner peers

Across the 4,289 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Danielle Wymard-Tomlinson, DNP writes more Part D claims than 8% of them and scores higher on MIPS quality than 74% - placing this provider in the lower-volume, high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 3Danielle Wymard-Tomlinson, DNP-Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 74
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Danielle Wymard-Tomlinson, DNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Danielle Wymard-Tomlinson, DNP?

High performer (top quartile)

NPI registry status

Active

Issued 09/03/2015

NPI 1801264163

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

35 97% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

93.8/100 10.7 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Adult Health Nurse Practitioner compares to other specialties among Pennsylvania providers

Pennsylvania providers

Largest specialties in Pennsylvania (% of in-state providers)

Student in an Organized Health Care Education/Training Program - 5.6%Student in an Organized Health Care Education/Training Program5.6%Pharmacist - 5%Pharmacist5%Physical Therapist - 4.9%Physical Therapist4.9%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Internal Medicine Physician - 3.3%Internal Medicine Physician3.3%Professional Counselor - 3.2%Professional Counselor3.2%Adult Health Nurse Practitioner - 0.5%Adult Health Nurse Practitioner0.5%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Danielle Wymard-Tomlinson, DNP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
93.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) - 93.8/100 vs national avg 83.1

0%100%National avg83%93.8%
MIPS final score (Adult Health Nurse Practitioner) - 93.8/100 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).

Danielle Wymard-Tomlinson, DNP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding DNP credentials at 2570 HAYMAKER RD FORBES REGIONAL HOSPITAL, Monroeville, PA, 15146, with a listed phone of (412) 858-8618. NPI 1801264163 was issued on 09/03/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Wymard-Tomlinson 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 35 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $5K in drug spend. 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 93.8/100 for the 2023 performance year (Quality 85.1), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

2570 HAYMAKER RD FORBES REGIONAL HOSPITAL
Monroeville, PA 15146

Provider Details

NPI 1801264163
Specialty Adult Health Nurse Practitioner
Credentials DNP
Gender Female
NPI Issued 09/03/2015

CMS Quality Score (MIPS)

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

93.7848
Final Score
Avg: 83.1
85.0781
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Danielle Wymard-Tomlinson, 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.

Premier Medical Associates PC
Monroeville, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Danielle Wymard-Tomlinson, DNP. To verify Danielle Wymard-Tomlinson, DNP's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

35
Total Claims
$5K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
37
Total Day Supply
1,014
Generic Drug Cost
$664

Patient Demographics

Average Patient Age
76.4 years
Avg HCC Risk Score
2.98

Adult Health Nurse Practitioner Overview

How Danielle Wymard-Tomlinson, DNP fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

Danielle Wymard-Tomlinson, DNP's 35 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Wymard-Tomlinson.

Compare Adult Health 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Adult Health 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.

Frequently Asked Questions

What is Danielle Wymard-Tomlinson, DNP's specialty?
Danielle Wymard-Tomlinson, DNP specializes in Adult Health Nurse Practitioner and practices in Monroeville, Pennsylvania. Credentials: DNP.
How much does Danielle Wymard-Tomlinson, DNP prescribe under Medicare Part D?
In 2023, Danielle Wymard-Tomlinson, DNP wrote 35 Medicare Part D claims totaling $5K in drug costs for N/A beneficiaries.
What is Danielle Wymard-Tomlinson, DNP's Medicare quality score?
Danielle Wymard-Tomlinson, DNP has a CMS MIPS Final Score of 93.8/100 (Quality: 85.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Danielle Wymard-Tomlinson, DNP located?
Danielle Wymard-Tomlinson, DNP is located at 2570 HAYMAKER RD FORBES REGIONAL HOSPITAL, Monroeville, PA, 15146. Phone: (412) 858-8618.
What is Danielle Wymard-Tomlinson, DNP's NPI number?
Danielle Wymard-Tomlinson, DNP's National Provider Identifier (NPI) is 1801264163, issued on 09/03/2015.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
Does Danielle Wymard-Tomlinson, DNP accept Medicare?
Danielle Wymard-Tomlinson, DNP appears in CMS Medicare data with 35 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Danielle Wymard-Tomlinson, DNP's credentials?
Danielle Wymard-Tomlinson, DNP's NPI is 1801264163 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

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.