NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1922448398 APRN
Verify on CMS → Darlene Ellis, APRN
Family Nurse Practitioner in Pikeville, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family 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
1K
Medicare Part D claims · 270 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.9/100
▲ 3 pts above national avg 83.5 · Above neutral
Industry payments
$2.8K
143 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Darlene Ellis, APRN reported a CMS MIPS final score of 86.9/100 - above the 83.5 national average - and filed 1,364 Medicare Part D claims in 2023.
- 86.9/100
- MIPS score · +3 vs avg
- 1K
- Part D claims, 2023
- 88%
- 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 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.
87 ≥ 49th percentile 49% 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 Darlene Ellis, APRN sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Darlene Ellis, APRN writes more Part D claims than 74% of them and scores higher on MIPS quality than 51% - 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 family nurse practitioner peer from a representative sample of 60; the gold marker is Darlene Ellis, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Darlene Ellis, APRN?
High performer (top quartile)Primary specialty
Family Nurse Practitioner
Medicare Part D claims
1,364 12% vs specialty avg
MIPS final score
86.9/100 3.4 pts vs avg
Specialty distribution in Kentucky
How Family Nurse Practitioner compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Darlene Ellis, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 86.9/100
- 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).
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.
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 88% generic by claim count, with an opioid prescribing rate of 2.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.9/100 for the 2023 performance year (Quality 72.4, Cost 70.7), compared with the 83.5 average among clinicians with a measured score.
Family Nurse Practitioner is a high-volume specialty nationwide, with 210,832 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
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
Measured-score avg: 83.5
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%
Family Nurse Practitioner average
11% brand-name claims vs 88% 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 / 88% 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
- Anastrozole
Anastrozole
183 claims
- Letrozole 71
Letrozole
71 claims
- Potassium Chloride 62
Potassium Chloride
62 claims
- Vitamin D2 58
Vitamin D2
58 claims
- Exemestane 52
Exemestane
52 claims
- Ondansetron Hcl 44
Ondansetron Hcl
44 claims
- Xarelto 40
Xarelto
40 claims
- Famotidine 31
Famotidine
31 claims
| 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.
210,832
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.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Ellis, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (86.9 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 5,006 Family Nurse Practitioner providers enrolled in Kentucky, 5 are shown here.
Dr. Katie Aaron
APRN
Columbia, KY
Dr. Rachael Abell
APRN
Louisville, KY
Dr. Amy Ables
APRN
Hartford, KY
Dr. Melanie Abner
APRN, CNM
Morehead, KY
Dr. Julie Abney
APRN
Lexington, KY
Compare Family 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 Kentucky medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Kentucky
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 86.9/100 (Quality: 72.4, Cost: 70.7). 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 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 88% 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 210,832 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
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 (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
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 May 2026.