2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1811292212 CNS
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HOLLY CROSS, CNS

Adult Health Clinical Nurse Specialist in AUSTIN, Texas. 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
492
Medicare Part D claims · 101 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
64.7778/100
▼ 18 pts below national avg 83.1 · [object Object]
Industry payments
$946.1
45 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HOLLY CROSS, CNS reported a CMS MIPS final score of 64.7778/100 — below the 83.1 national average — and filed 492 Medicare Part D claims in 2023.

64.7778/100
MIPS score · -18 vs avg
492
Part D claims, 2023
95%
generic prescribing
$946.1
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.

HOLLY CROSS, CNS's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

65 6th percentile higher than 6% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 HOLLY CROSS, CNS?

Below national average

NPI registry status

Active

Issued 01/14/2011

NPI 1811292212

Primary specialty

Adult Health Clinical Nurse Specialist

Niche

1,375 US NPIs in this specialty

Medicare Part D claims

492 55% vs specialty avg

2023 prescription claims

Specialty avg: 1,088

MIPS final score

64.7778/100 18.322199999999995% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Adult Health Clinical Nurse Specialist compares to other specialties among Texas providers

Texas providers

Adult Health Clinical Nurse Specialist share within Texas

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

Medicare quality performance — MIPS

HOLLY CROSS, CNS's 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average

Below national average
MIPS Final Score
64.7778/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Clinical Nurse Specialist) — 64.7778/100 vs national avg 83.1

0%100%National avg83%64.8%
MIPS final score (Adult Health Clinical Nurse Specialist) — 64.7778/100 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).

HOLLY CROSS, CNS is a Adult Health Clinical Nurse Specialist provider practicing in AUSTIN, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: CNS. NPI: 1811292212. 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.

HOLLY CROSS, CNS appears in the CMS NPPES registry as a Adult Health Clinical Nurse Specialist provider holding CNS credentials at 1601 TRINITY ST, AUSTIN, TX, 78712, with a listed phone of (833) 882-2737. NPI 1811292212 was issued on 01/14/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CROSS 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 492 prescription claims written by this provider, covering 101 Medicare beneficiaries and totaling roughly $32K in drug spend, split 5% brand-name and 95% 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 64.7778/100 for the 2023 performance year (Quality 80.5883, Cost 32.0044), compared with the national average of 83.1.

Adult Health Clinical Nurse Specialist is a narrow specialty nationwide, with 1,375 enrolled providers across 49 states and an average of 1,088 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

1601 TRINITY ST
AUSTIN, TX 78712

Provider Details

NPI 1811292212
Specialty Adult Health Clinical Nurse Specialist
Credentials CNS
Gender Female
NPI Issued 01/14/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

64.7778
Final Score
Avg: 83.1
80.5883
Quality
32.0044
Cost
64
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where HOLLY CROSS, CNS bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SENIOR ADULTS SPECIALTY HEALTHCARE PA
AUSTIN, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 HOLLY CROSS, CNS. Source: openpaymentsdata.cms.gov.

Total received

$946

Largest payer

Lundbeck LLC

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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to HOLLY CROSS, CNS. To verify HOLLY CROSS, CNS's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

HOLLY CROSS, CNS — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 492 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.

492
Total Claims
$32K
Total Drug Cost
101
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
857
Total Day Supply
25,466
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$14K
Generic Drug Cost
$18K

Patient Demographics

Average Patient Age
78.0 years
Avg HCC Risk Score
1.16
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Donepezil Hcl
99
Memantine Hcl Er
Memantine Hcl
70
Sertraline Hcl
67
Rivastigmine
39
Escitalopram Oxalate
36
Quetiapine Fumarate
36
Mirtazapine
28
Memantine Hcl
21
Trazodone Hcl
21
Gabapentin
20

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

Adult Health Clinical Nurse Specialist Overview

How HOLLY CROSS, CNS fits within the Adult Health Clinical Nurse Specialist landscape nationally.

1,375
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,088
Avg Claims per Provider

HOLLY CROSS, CNS's 492 claims are below the specialty average of 1,088.

Nearby Adult Health Clinical Nurse Specialist Providers in Texas

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

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

Frequently Asked Questions

What is HOLLY CROSS, CNS's specialty?
HOLLY CROSS, CNS specializes in Adult Health Clinical Nurse Specialist and practices in AUSTIN, Texas. Credentials: CNS.
How much does HOLLY CROSS, CNS prescribe under Medicare Part D?
In 2023, HOLLY CROSS, CNS wrote 492 Medicare Part D claims totaling $32K in drug costs for 101 beneficiaries.
What is HOLLY CROSS, CNS's Medicare quality score?
HOLLY CROSS, CNS has a CMS MIPS Final Score of 64.7778/100 (Quality: 80.5883, Cost: 32.0044). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HOLLY CROSS, CNS located?
HOLLY CROSS, CNS is located at 1601 TRINITY ST, AUSTIN, TX, 78712. Phone: (833) 882-2737.
What is HOLLY CROSS, CNS's NPI number?
HOLLY CROSS, CNS's National Provider Identifier (NPI) is 1811292212, issued on 01/14/2011.
Does HOLLY CROSS, CNS prescribe more brand-name or generic drugs?
HOLLY CROSS, CNS's prescribing is 5% brand-name and 95% generic drugs by claim count, with $14K in brand drug costs.
How many Adult Health Clinical Nurse Specialist providers are there in the US?
There are 1,375 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,088 Medicare Part D claims per year.
What drugs does HOLLY CROSS, CNS prescribe most often?
Based on 2023 Medicare Part D data, HOLLY CROSS, CNS's most frequently prescribed drugs include Donepezil Hcl, Memantine Hcl Er, Sertraline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HOLLY CROSS, CNS accept Medicare?
HOLLY CROSS, CNS appears in CMS Medicare data with 492 Part D claims and 101 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HOLLY CROSS, CNS's credentials?
HOLLY CROSS, CNS's NPI is 1811292212 with credentials CNS. 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