2026 NPPES data Pediatric Nurse Practitioner NPI 1235533472
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ERIN KELLY

Pediatric Nurse Practitioner in KNOXVILLE, Tennessee. 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
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 · [object Object]
Industry payments
$65.01
4 payments · CMS Open Payments (Sunshine Act)

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

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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 ERIN KELLY?

High performer (top quartile)

NPI registry status

Active

Issued 10/17/2014

NPI 1235533472

Primary specialty

Pediatric Nurse Practitioner

Mid-sized

21,082 US NPIs in this specialty

Medicare Part D claims

473 52% vs specialty avg

2023 prescription claims

Specialty avg: 312

MIPS final score

98.3/100 15.200000000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Pediatric Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Pediatric Nurse Practitioner share within Tennessee

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

Medicare quality performance — MIPS

ERIN KELLY's 2023 MIPS final score plotted against the Pediatric Nurse Practitioner national average

High performer (top quartile)
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

0%100%National avg83%98.3%
MIPS final score (Pediatric Nurse Practitioner) — 98.3/100 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).

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KELLY 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 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. 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 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 21,082 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

801 N WEISGARBER RD
KNOXVILLE, TN 37909

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%
Specialty average (est.)

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

21,082
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.

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

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 21,082 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

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