NPI registry status
Active
2026 NPPES data Pediatric Nurse Practitioner NPI 1235533472
Verify on CMS → Erin Kelly
Pediatric Nurse Practitioner in Knoxville, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 21,156 in Pediatric 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
473
Medicare Part D claims · 95 beneficiaries · Pediatric Nurse Practitioner avg: 312
Generic prescribing
68%
generic claims · 32% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.3/100
▲ 15 pts above national avg 83.1 · Exceptional
Industry payments
$65.01
4 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Erin Kelly reported a CMS MIPS final score of 98.3/100 - above the 83.1 national average - and filed 473 Medicare Part D claims in 2023.
- 98.3/100
- MIPS score · +15 vs avg
- 473
- Part D claims, 2023
- 68%
- generic prescribing
- $65.01
- 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.
Erin Kelly's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 11% higher than 89% of 477,587 scored providers
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 Erin Kelly sits
This provider among pediatric nurse practitioner peers
Across the 147 pediatric nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Erin Kelly writes more Part D claims than 78% of them and scores higher on MIPS quality than 86% - placing this provider in the high-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
Each dot is one pediatric nurse practitioner peer from a representative sample of 60; the gold marker is Erin Kelly. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Erin Kelly?
High performer (top quartile)Primary specialty
Pediatric Nurse Practitioner
Medicare Part D claims
473 52% vs specialty avg
MIPS final score
98.3/100 15.2 pts vs avg
Specialty distribution in Tennessee
How Pediatric Nurse Practitioner compares to other specialties among Tennessee providers
Medicare quality performance, MIPS
Erin Kelly's 2023 MIPS final score plotted against the Pediatric Nurse Practitioner national average
- MIPS Final Score
- 98.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Nurse Practitioner) - 98.3/100 vs national avg 83.1
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).
Erin Kelly appears in the CMS NPPES registry as a Pediatric Nurse Practitioner provider at 801 N WEISGARBER RD, Knoxville, TN, 37909, with a listed phone of (865) 584-8588. NPI 1235533472 was issued on 10/17/2014.
Medicare Part D records for calendar year 2023 show 473 prescription claims written by this provider, covering 95 Medicare beneficiaries and totaling roughly $174K in drug spend, split 32% brand-name and 68% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.3/100 for the 2023 performance year, compared with the national average of 83.1.
Pediatric Nurse Practitioner is a mid-sized specialty nationwide, with 21,156 enrolled providers across 52 states and an average of 312 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 | 1235533472 |
|---|---|
| Specialty | Pediatric Nurse Practitioner |
| Gender | Female |
| NPI Issued | 10/17/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
98.3
Final Score
Avg: 83.1
98
Promoting Interoperability
Reporting: Group practice
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 Erin Kelly. Source: openpaymentsdata.cms.gov.
Total received
$65
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 · Above average
Erin Kelly - brand share 32.0%
Pediatric Nurse Practitioner average
32% brand-name claims vs 68% generic, on 473 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.
473
Total Claims
$174K
Total Drug Cost
95
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 782
- Total Day Supply
- 22,398
- Brand vs Generic
- 32% brand / 68% generic
- Brand Drug Cost
- $162K
- Generic Drug Cost
- $12K
- Antibiotic Claims
- 12
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 1.20
- Gender Split
- 73% female / 27% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Erin Kelly prescribes most
Top Medicare Part D drugs by claim count, 2023
- Montelukast Sodium
Montelukast Sodium
71 claims
- Azelastine Hcl
Azelastine Hcl
64 claims
- Fluticasone Propio…
Fluticasone Propionate
64 claims
- Ipratropium Bromide
Ipratropium Bromide
37 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
34 claims
- Xolair 24
Xolair
24 claims
- Breo Ellipta 23
Breo Ellipta
23 claims
- Trelegy Ellipta 16
Trelegy Ellipta
16 claims
| Drug | Claims |
|---|---|
| Montelukast Sodium | 71 |
| Azelastine Hcl | 64 |
| Fluticasone Propionate | 64 |
| Ipratropium Bromide | 37 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 34 |
| Xolair Omalizumab | 24 |
| Breo Ellipta Fluticasone/Vilanterol | 23 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 16 |
| Advair Hfa Fluticasone Propion/Salmeterol | 13 |
| Epinephrine | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Nurse Practitioner Overview
How Erin Kelly fits within the Pediatric Nurse Practitioner landscape nationally.
21,156
Pediatric Nurse Practitioner Providers in US
52
States with Pediatric Nurse Practitioner
312
Avg Claims per Provider
Erin Kelly's 473 claims are above the specialty average of 312.
Nearby Pediatric Nurse Practitioner Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Kelly.
Dr. Sean Abasta
PNP
Knoxville, TN
Lindley Abrams
Memphis, TN
Siddhida Acharya
White House, TN
Hilary Adamec
Nashville, TN
Kerry Adams
Nashville, TN
Compare Pediatric 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 Tennessee medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric 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.
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Frequently Asked Questions
What is Erin Kelly's specialty? ▼
Erin Kelly specializes in Pediatric Nurse Practitioner and practices in Knoxville, Tennessee.
How much does Erin Kelly prescribe under Medicare Part D? ▼
In 2023, Erin Kelly wrote 473 Medicare Part D claims totaling $174K in drug costs for 95 beneficiaries.
What is Erin Kelly's Medicare quality score? ▼
Erin Kelly has a CMS MIPS Final Score of 98.3/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Erin Kelly located? ▼
Erin Kelly is located at 801 N WEISGARBER RD, Knoxville, TN, 37909. Phone: (865) 584-8588.
What is Erin Kelly's NPI number? ▼
Erin Kelly's National Provider Identifier (NPI) is 1235533472, issued on 10/17/2014.
Does Erin Kelly prescribe more brand-name or generic drugs? ▼
Erin Kelly's prescribing is 32% brand-name and 68% generic drugs by claim count, with $162K in brand drug costs.
How many Pediatric Nurse Practitioner providers are there in the US? ▼
There are 21,156 Pediatric Nurse Practitioner providers across 52 states in the US. The average Pediatric Nurse Practitioner provider writes 312 Medicare Part D claims per year.
What drugs does Erin Kelly prescribe most often? ▼
Based on 2023 Medicare Part D data, Erin Kelly's most frequently prescribed drugs include Montelukast Sodium, Azelastine Hcl, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Erin Kelly accept Medicare? ▼
Erin Kelly appears in CMS Medicare data with 473 Part D claims and 95 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Erin Kelly's credentials? ▼
Erin Kelly's NPI is 1235533472. 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
Compiled from official public sources by the PlainDoctor editorial team.
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.