2026 NPPES data Adult Psychiatric/Mental Health Clinical Nurse Specialist NPI 1649230582 ARNP
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DEBRA KIRMER, ARNP

Adult Psychiatric/Mental Health Clinical Nurse Specialist in TOPEKA, Kansas. 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
2K
Medicare Part D claims · 137 beneficiaries · Adult Psychiatric/Mental Health Clinical Nurse Specialist avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

DEBRA KIRMER, ARNP filed 1,607 Medicare Part D claims in 2023 as a Adult Psychiatric/Mental Health Clinical Nurse Specialist in TOPEKA, Kansas, prescribing 90% generic.

2K
Part D claims, 2023
90%
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 KIRMER, ARNP's Medicare Part D volume vs every U.S. prescriber

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

1,607 Top 18% higher than 82% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). This entry sits in this band. 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 KIRMER, ARNP?

Quality data not reported

NPI registry status

Active

Issued 03/24/2006

NPI 1649230582

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse Specialist

Niche

953 US NPIs in this specialty

Medicare Part D claims

1,607 23% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

Specialty distribution in Kansas

How Adult Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among Kansas providers

Kansas providers

Adult Psychiatric/Mental Health Clinical Nurse Specialist share within Kansas

1. Adult Psychiatric/Mental Health Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Psychiatric/Mental Health Clinical Nurse Specialist share within Kansas

Specialty board-certification context

Estimated specialty board-certified rate — Adult Psychiatric/Mental Health Clinical Nurse Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Psychiatric/Mental Health Clinical Nurse Specialist ABMS/AOA estimate

Est. board-certified rate (Adult Psychiatric/Mental Health Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Psychiatric/Mental Health Clinical Nurse Specialist) — 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 KIRMER, ARNP is a Adult Psychiatric/Mental Health Clinical Nurse Specialist provider practicing in TOPEKA, Kansas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: ARNP. NPI: 1649230582. 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 KIRMER, ARNP appears in the CMS NPPES registry as a Adult Psychiatric/Mental Health Clinical Nurse Specialist provider holding ARNP credentials at 330 SW OAKLEY AVE, TOPEKA, KS, 66606, with a listed phone of (785) 273-2252. NPI 1649230582 was issued on 03/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KIRMER 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 1,607 prescription claims written by this provider, covering 137 Medicare beneficiaries and totaling roughly $443K in drug spend, split 10% brand-name and 90% 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.

Adult Psychiatric/Mental Health Clinical Nurse Specialist is a narrow specialty nationwide, with 953 enrolled providers across 51 states and an average of 1,309 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

330 SW OAKLEY AVE
TOPEKA, KS 66606

Provider Details

NPI 1649230582
Specialty Adult Psychiatric/Mental Health Clinical Nurse Specialist
Credentials ARNP
Gender Female
NPI Issued 03/24/2006

Brand vs generic prescribing mix · Typical

DEBRA KIRMER, ARNP — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 1,607 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.

1,607
Total Claims
$443K
Total Drug Cost
137
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,765
Total Day Supply
51,417
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$382K
Generic Drug Cost
$62K

Patient Demographics

Average Patient Age
55.7 years
Avg HCC Risk Score
1.50
Gender Split
66% female / 34% male
Age Distribution
<65: 98, 65-74: 31, 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.

Drug Claims
Clonazepam
143
Duloxetine Hcl
93
Trazodone Hcl
88
Lamotrigine
72
Quetiapine Fumarate
61
Sertraline Hcl
58
Clozapine
55
Aripiprazole
52
Lorazepam
50
Fluoxetine Hcl
47

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

Adult Psychiatric/Mental Health Clinical Nurse Specialist Overview

How DEBRA KIRMER, ARNP fits within the Adult Psychiatric/Mental Health Clinical Nurse Specialist landscape nationally.

953
Adult Psychiatric/Mental Health Clinical Nurse Specialist Providers in US
51
States with Adult Psychiatric/Mental Health Clinical Nurse Specialist
1,309
Avg Claims per Provider

DEBRA KIRMER, ARNP's 1,607 claims are above the specialty average of 1,309.

Nearby Adult Psychiatric/Mental Health Clinical Nurse Specialist Providers in Kansas

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

Compare Adult Psychiatric/Mental Health Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is DEBRA KIRMER, ARNP's specialty?
DEBRA KIRMER, ARNP specializes in Adult Psychiatric/Mental Health Clinical Nurse Specialist and practices in TOPEKA, Kansas. Credentials: ARNP.
How much does DEBRA KIRMER, ARNP prescribe under Medicare Part D?
In 2023, DEBRA KIRMER, ARNP wrote 1,607 Medicare Part D claims totaling $443K in drug costs for 137 beneficiaries.
Where is DEBRA KIRMER, ARNP located?
DEBRA KIRMER, ARNP is located at 330 SW OAKLEY AVE, TOPEKA, KS, 66606. Phone: (785) 273-2252.
What is DEBRA KIRMER, ARNP's NPI number?
DEBRA KIRMER, ARNP's National Provider Identifier (NPI) is 1649230582, issued on 03/24/2006.
Does DEBRA KIRMER, ARNP prescribe more brand-name or generic drugs?
DEBRA KIRMER, ARNP's prescribing is 10% brand-name and 90% generic drugs by claim count, with $382K in brand drug costs.
How many Adult Psychiatric/Mental Health Clinical Nurse Specialist providers are there in the US?
There are 953 Adult Psychiatric/Mental Health Clinical Nurse Specialist providers across 51 states in the US. The average Adult Psychiatric/Mental Health Clinical Nurse Specialist provider writes 1,309 Medicare Part D claims per year.
What drugs does DEBRA KIRMER, ARNP prescribe most often?
Based on 2023 Medicare Part D data, DEBRA KIRMER, ARNP's most frequently prescribed drugs include Clonazepam, Duloxetine Hcl, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DEBRA KIRMER, ARNP accept Medicare?
DEBRA KIRMER, ARNP appears in CMS Medicare data with 1,607 Part D claims and 137 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DEBRA KIRMER, ARNP's credentials?
DEBRA KIRMER, ARNP's NPI is 1649230582 with credentials ARNP. 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