2026 NPPES data Women's Health Nurse Practitioner NPI 1992920516 NURSE PRACTITIONER
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DEBRA GROMLEY, NURSE PRACTITIONER

Women's Health Nurse Practitioner in DECATUR, 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
91
Medicare Part D claims · 22 beneficiaries · Women's Health Nurse Practitioner avg: 262
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

DEBRA GROMLEY, NURSE PRACTITIONER filed 91 Medicare Part D claims in 2023 as a Women's Health Nurse Practitioner in DECATUR, Illinois, prescribing 75% generic.

91
Part D claims, 2023
75%
generic prescribing

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.

DEBRA GROMLEY, NURSE PRACTITIONER's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

91 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about DEBRA GROMLEY, NURSE PRACTITIONER?

Quality data not reported

NPI registry status

Active

Issued 04/17/2007

NPI 1992920516

Primary specialty

Women's Health Nurse Practitioner

Mid-sized

9,452 US NPIs in this specialty

Medicare Part D claims

91 65% vs specialty avg

2023 prescription claims

Specialty avg: 262

Specialty distribution in Illinois

How Women's Health Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Women's Health Nurse Practitioner share within Illinois

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

Specialty board-certification context

Estimated specialty board-certified rate — Women's Health Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Women's Health Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Women's Health Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Women's Health Nurse Practitioner) — ABMS / AOA estimate

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).

DEBRA GROMLEY, NURSE PRACTITIONER is a Women's Health Nurse Practitioner provider practicing in DECATUR, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NURSE PRACTITIONER. NPI: 1992920516. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DEBRA GROMLEY, NURSE PRACTITIONER appears in the CMS NPPES registry as a Women's Health Nurse Practitioner provider holding NURSE PRACTITIONER credentials at 2220 N MONROE ST, DECATUR, IL, 62526, with a listed phone of (217) 875-1886. NPI 1992920516 was issued on 04/17/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GROMLEY 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 91 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $14K in drug spend, split 25% brand-name and 75% 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.

Women's Health Nurse Practitioner is a mid-sized specialty nationwide, with 9,452 enrolled providers across 55 states and an average of 262 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

2220 N MONROE ST
DECATUR, IL 62526

Provider Details

NPI 1992920516
Specialty Women's Health Nurse Practitioner
Credentials NURSE PRACTITIONER
Gender Female
NPI Issued 04/17/2007

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 DEBRA GROMLEY, NURSE PRACTITIONER. To verify DEBRA GROMLEY, NURSE PRACTITIONER'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 · Above average

DEBRA GROMLEY, NURSE PRACTITIONER — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 91 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.

91
Total Claims
$14K
Total Drug Cost
22
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
202
Total Day Supply
5,846
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$8K
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
0.54

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Imvexxy
Estradiol
14
Clobetasol Propionate
13

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

Women's Health Nurse Practitioner Overview

How DEBRA GROMLEY, NURSE PRACTITIONER fits within the Women's Health Nurse Practitioner landscape nationally.

9,452
Women's Health Nurse Practitioner Providers in US
55
States with Women's Health Nurse Practitioner
262
Avg Claims per Provider

DEBRA GROMLEY, NURSE PRACTITIONER's 91 claims are below the specialty average of 262.

Nearby Women's Health Nurse Practitioner Providers in Illinois

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

Compare Women's Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is DEBRA GROMLEY, NURSE PRACTITIONER's specialty?
DEBRA GROMLEY, NURSE PRACTITIONER specializes in Women's Health Nurse Practitioner and practices in DECATUR, Illinois. Credentials: NURSE PRACTITIONER.
How much does DEBRA GROMLEY, NURSE PRACTITIONER prescribe under Medicare Part D?
In 2023, DEBRA GROMLEY, NURSE PRACTITIONER wrote 91 Medicare Part D claims totaling $14K in drug costs for 22 beneficiaries.
Where is DEBRA GROMLEY, NURSE PRACTITIONER located?
DEBRA GROMLEY, NURSE PRACTITIONER is located at 2220 N MONROE ST, DECATUR, IL, 62526. Phone: (217) 875-1886.
What is DEBRA GROMLEY, NURSE PRACTITIONER's NPI number?
DEBRA GROMLEY, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1992920516, issued on 04/17/2007.
Does DEBRA GROMLEY, NURSE PRACTITIONER prescribe more brand-name or generic drugs?
DEBRA GROMLEY, NURSE PRACTITIONER's prescribing is 25% brand-name and 75% generic drugs by claim count, with $8K in brand drug costs.
How many Women's Health Nurse Practitioner providers are there in the US?
There are 9,452 Women's Health Nurse Practitioner providers across 55 states in the US. The average Women's Health Nurse Practitioner provider writes 262 Medicare Part D claims per year.
What drugs does DEBRA GROMLEY, NURSE PRACTITIONER prescribe most often?
Based on 2023 Medicare Part D data, DEBRA GROMLEY, NURSE PRACTITIONER's most frequently prescribed drugs include Imvexxy, Clobetasol Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DEBRA GROMLEY, NURSE PRACTITIONER accept Medicare?
DEBRA GROMLEY, NURSE PRACTITIONER appears in CMS Medicare data with 91 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 DEBRA GROMLEY, NURSE PRACTITIONER's credentials?
DEBRA GROMLEY, NURSE PRACTITIONER's NPI is 1992920516 with credentials NURSE PRACTITIONER. 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.
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