2026 NPPES data Family Nurse Practitioner NPI 1922448398 APRN
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DARLENE ELLIS, APRN

Family Nurse Practitioner in PIKEVILLE, Kentucky. 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
1K
Medicare Part D claims · 270 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.8615/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$2.8K
143 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DARLENE ELLIS, APRN reported a CMS MIPS final score of 86.8615/100 — above the 83.1 national average — and filed 1,364 Medicare Part D claims in 2023.

86.8615/100
MIPS score · +4 vs avg
1K
Part D claims, 2023
89%
generic prescribing
$2.8K
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.

DARLENE ELLIS, APRN's MIPS score vs every scored U.S. clinician

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

87 Top 48% higher than 52% 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%). This entry sits in this band. 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 DARLENE ELLIS, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 07/01/2013

NPI 1922448398

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

1,364 12% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

86.8615/100 3.7615000000000123% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Family Nurse Practitioner compares to other specialties among Kentucky providers

Kentucky providers

Family Nurse Practitioner share within Kentucky

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

Medicare quality performance — MIPS

DARLENE ELLIS, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
86.8615/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 86.8615/100 vs national avg 83.1

0%100%National avg83%86.9%
MIPS final score (Family Nurse Practitioner) — 86.8615/100 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).

DARLENE ELLIS, APRN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APRN credentials at 911 BYPASS RD BLDG A, PIKEVILLE, KY, 41501, with a listed phone of (606) 430-2212. NPI 1922448398 was issued on 07/01/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELLIS 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 1,364 prescription claims written by this provider, covering 270 Medicare beneficiaries and totaling roughly $140K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 2.5%. 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 86.8615/100 for the 2023 performance year (Quality 72.3904, Cost 70.6553), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

911 BYPASS RD BLDG A
PIKEVILLE, KY 41501

Provider Details

NPI 1922448398
Specialty Family Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 07/01/2013

CMS Quality Score (MIPS)

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

86.8615
Final Score
Avg: 83.1
72.3904
Quality
70.6553
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DARLENE ELLIS, APRN 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.

PIKEVILLE MEDICAL CENTER INC
PIKEVILLE, KY

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 DARLENE ELLIS, APRN. Source: openpaymentsdata.cms.gov.

Total received

$2.8K

Largest payer

AstraZeneca Pharmaceuticals LP

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.

Brand vs generic prescribing mix · Typical

DARLENE ELLIS, APRN — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 1,364 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.

1,364
Total Claims
$140K
Total Drug Cost
270
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,864
Total Day Supply
48,826
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$74K
Generic Drug Cost
$65K
Opioid Claims
34 (2.5% rate)
Antibiotic Claims
98

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
2.32
Gender Split
67% female / 33% male
Age Distribution
<65: 73, 65-74: 126, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What DARLENE ELLIS, APRN prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Anastrozole
183
Letrozole
71
Potassium Chloride
62
Vitamin D2
Ergocalciferol (Vitamin D2)
58
Exemestane
52
Ondansetron Hcl
44
Xarelto
Rivaroxaban
40
Famotidine
31
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
31
Pantoprazole Sodium
30

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

Family Nurse Practitioner Overview

How DARLENE ELLIS, APRN fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

DARLENE ELLIS, APRN's 1,364 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Kentucky

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

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

Frequently Asked Questions

What is DARLENE ELLIS, APRN's specialty?
DARLENE ELLIS, APRN specializes in Family Nurse Practitioner and practices in PIKEVILLE, Kentucky. Credentials: APRN.
How much does DARLENE ELLIS, APRN prescribe under Medicare Part D?
In 2023, DARLENE ELLIS, APRN wrote 1,364 Medicare Part D claims totaling $140K in drug costs for 270 beneficiaries.
What is DARLENE ELLIS, APRN's Medicare quality score?
DARLENE ELLIS, APRN has a CMS MIPS Final Score of 86.8615/100 (Quality: 72.3904, Cost: 70.6553). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DARLENE ELLIS, APRN located?
DARLENE ELLIS, APRN is located at 911 BYPASS RD BLDG A, PIKEVILLE, KY, 41501. Phone: (606) 430-2212.
What is DARLENE ELLIS, APRN's NPI number?
DARLENE ELLIS, APRN's National Provider Identifier (NPI) is 1922448398, issued on 07/01/2013.
Does DARLENE ELLIS, APRN prescribe more brand-name or generic drugs?
DARLENE ELLIS, APRN's prescribing is 11% brand-name and 89% generic drugs by claim count, with $74K in brand drug costs.
Does DARLENE ELLIS, APRN prescribe opioids?
Yes, DARLENE ELLIS, APRN had 34 opioid claims in 2023 with an opioid prescribing rate of 2.5%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does DARLENE ELLIS, APRN prescribe most often?
Based on 2023 Medicare Part D data, DARLENE ELLIS, APRN's most frequently prescribed drugs include Anastrozole, Letrozole, Potassium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DARLENE ELLIS, APRN accept Medicare?
DARLENE ELLIS, APRN appears in CMS Medicare data with 1,364 Part D claims and 270 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DARLENE ELLIS, APRN's credentials?
DARLENE ELLIS, APRN's NPI is 1922448398 with credentials APRN. 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