NPI registry status
Active
2026 NPPES data Adult Psychiatric/Mental Health Clinical Nurse Specialist NPI 1467779256 A.P.N.
Verify on CMS → Guilford Hurst, A.P.N.
Adult Psychiatric/Mental Health Clinical Nurse Specialist in Wilmington, Delaware.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 960 in Adult Psychiatric/Mental Health Clinical Nurse Specialist, 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
6K
Medicare Part D claims · 301 beneficiaries · Adult Psychiatric/Mental Health Clinical Nurse Specialist avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
43/100
▼ 41 pts below national avg 83.5 · Below average
Industry payments
$9.6K
43 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Guilford Hurst, A.P.N. reported a CMS MIPS final score of 43/100 - below the 83.5 national average - and filed 5,903 Medicare Part D claims in 2024.
- 43/100
- MIPS score · -40 vs avg
- 6K
- Part D claims, 2024
- 92%
- generic prescribing
- $9.6K
- 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.
Federal trust snapshot
What official records show about Guilford Hurst, A.P.N.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1467779256), first enumerated 05/03/2010.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 5,903 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 43/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Industry payment transparency
$9.6K in reported industry payments (43 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1467779256 · Adult Psychiatric/Mental Health Clinical Nurse Specialist
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-LOW · RX-MID · BOOK-THIN · NEAR-MIPS
- NPI-10 1467779256
- ENUM-MID 2010
- TAX-NARROW 960
- MIPS-LOW 43/100
- RX-MID 5,903
- BOOK-THIN 8 in Delaware
- NEAR-MIPS Brenda Burton, CNP · 3.3
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Jeffrey Boatman,…
Jeffrey Boatman, MSN, RN
29.2 MIPS pts
- Brenda Burton, C…
Brenda Burton, CNP
39.7 MIPS pts
- Hurst · this pro…
Hurst · this provider
43 MIPS pts
- Brenda Ritz, PMH…
Brenda Ritz, PMH-CNS-BC
53.4 MIPS pts
- Carmen Turner, P…
Carmen Turner, PMHCNS
65.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Guilford Hurst, A.P.N.'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.
43 ≥ 4th percentile 4% 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 Guilford Hurst, A.P.N. sits
This provider among adult psychiatric/mental health clinical nurse specialist peers
Across the 40 adult psychiatric/mental health clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Guilford Hurst, A.P.N. writes more Part D claims than 95% of them and scores higher on MIPS quality than 8% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one adult psychiatric/mental health clinical nurse specialist peer from a representative sample of 39; the gold marker is Guilford Hurst, A.P.N.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Guilford Hurst, A.P.N.?
Below national averagePrimary specialty
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Medicare Part D claims
5,903 389% vs specialty avg
MIPS final score
43/100 40.5 pts vs avg
Specialty distribution in Delaware
How Adult Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among Delaware providers
Medicare quality performance, MIPS
Guilford Hurst, A.P.N.'s 2023 MIPS final score plotted against the Adult Psychiatric/Mental Health Clinical Nurse Specialist national average
- MIPS Final Score
- 43/100
- 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).
Practice Address
Provider Details
| NPI | 1467779256 |
|---|---|
| Specialty | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| Credentials | A.P.N. |
| Gender | Male |
| NPI Issued | 05/03/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
43
Final Score
Measured-score avg: 83.5
20
Quality
100
Cost
Reporting: Individual
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 Guilford Hurst, A.P.N.. Source: openpaymentsdata.cms.gov.
Total received
$9.6K
Largest payer
Alkermes, Inc.
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 · Generic-heavy
Guilford Hurst, A.P.N. - brand share 8.0%
Adult Psychiatric/Mental Health Clinical Nurse Specialist average
8% brand-name claims vs 92% generic, on 5,903 2024 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 2024.
5,903
Total Claims
$956K
Total Drug Cost
301
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 8,187.867
- Total Day Supply
- 238,516
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $767K
- Generic Drug Cost
- $189K
Patient Demographics
- Average Patient Age
- 64.3 years
- Avg HCC Risk Score
- 1.43
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 97, 65-74: 139, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Guilford Hurst, A.P.N. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Clonazepam
Clonazepam
447 claims
- Alprazolam
Alprazolam
373 claims
- Olanzapine
Olanzapine
332 claims
- Lorazepam
Lorazepam
287 claims
- Trazodone Hcl
Trazodone Hcl
241 claims
- Sertraline Hcl
Sertraline Hcl
227 claims
- Escitalopram Oxalate
Escitalopram Oxalate
196 claims
- Aripiprazole 171
Aripiprazole
171 claims
| Drug | Claims |
|---|---|
| Clonazepam | 447 |
| Alprazolam | 373 |
| Olanzapine | 332 |
| Lorazepam | 287 |
| Trazodone Hcl | 241 |
| Sertraline Hcl | 227 |
| Escitalopram Oxalate | 196 |
| Aripiprazole | 171 |
| Divalproex Sodium Er Divalproex Sodium | 163 |
| Risperidone | 162 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Adult Psychiatric/Mental Health Clinical Nurse Specialist in DE →
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Adult Psychiatric/Mental Health Clinical Nurse Specialist Overview
How Guilford Hurst, A.P.N. fits within the Adult Psychiatric/Mental Health Clinical Nurse Specialist landscape nationally.
960
Adult Psychiatric/Mental Health Clinical Nurse Specialist Providers in US
51
States with Adult Psychiatric/Mental Health Clinical Nurse Specialist
1,206
Avg Claims per Provider
Guilford Hurst, A.P.N.'s 5,903 claims are above the specialty average of 1,206.
Nationwide Adult Psychiatric/Mental Health Clinical Nurse Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Hurst, both outside Delaware so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (43 here).
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult Psychiatric/Mental Health Clinical Nurse Specialist Providers in Delaware
Other clinicians with the same primary specialty enrolled in Delaware, drawn from the same CMS NPPES roster as Hurst.
One of 8 Adult Psychiatric/Mental Health Clinical Nurse Specialist providers enrolled in Delaware, 5 are shown here.
Frequently Asked Questions
What is Guilford Hurst, A.P.N.'s specialty? ▼
Guilford Hurst, A.P.N. specializes in Adult Psychiatric/Mental Health Clinical Nurse Specialist and practices in Wilmington, Delaware. Credentials: A.P.N..
How much does Guilford Hurst, A.P.N. prescribe under Medicare Part D? ▼
In 2024, Guilford Hurst, A.P.N. wrote 5,903 Medicare Part D claims totaling $956K in drug costs for 301 beneficiaries.
What is Guilford Hurst, A.P.N.'s Medicare quality score? ▼
Guilford Hurst, A.P.N. has a CMS MIPS Final Score of 43/100 (Quality: 20, Cost: 100). 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 Guilford Hurst, A.P.N. located? ▼
Guilford Hurst, A.P.N. is located at 500 W 10TH ST, Wilmington, DE, 19801. Phone: (302) 984-3380.
What is Guilford Hurst, A.P.N.'s NPI number? ▼
Guilford Hurst, A.P.N.'s National Provider Identifier (NPI) is 1467779256, issued on 05/03/2010.
Does Guilford Hurst, A.P.N. prescribe more brand-name or generic drugs? ▼
Guilford Hurst, A.P.N.'s prescribing is 8% brand-name and 92% generic drugs by claim count, with $767K in brand drug costs.
How many Adult Psychiatric/Mental Health Clinical Nurse Specialist providers are there in the US? ▼
There are 960 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 1,206 Medicare Part D claims per year.
What drugs does Guilford Hurst, A.P.N. prescribe most often? ▼
Based on 2024 Medicare Part D data, Guilford Hurst, A.P.N.'s most frequently prescribed drugs include Clonazepam, Alprazolam, Olanzapine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Guilford Hurst, A.P.N. accept Medicare? ▼
Guilford Hurst, A.P.N. appears in CMS Medicare data with 5,903 Part D claims and 301 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Guilford Hurst, A.P.N.'s credentials? ▼
Guilford Hurst, A.P.N.'s NPI is 1467779256 with credentials A.P.N.. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.