NPI registry status
Active
2026 NPPES data Registered Nurse NPI 1194064642 NP
Verify on CMS → Holly Vance, NP
Registered Nurse in Bristol, 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 177,204 in Registered Nurse, 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
248
Medicare Part D claims · 13 beneficiaries · Registered Nurse avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$30.51
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Holly Vance, NP filed 248 Medicare Part D claims in 2023 as a Registered Nurse in Bristol, Tennessee, prescribing 95% generic.
- 248
- Part D claims, 2023
- 95%
- generic prescribing
- $30.51
- industry payments (Sunshine Act)
- ≥49th
- pct by Part D claim volume (lower-bound band)
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 Vance, NP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
248 ≥ 49th percentile 49% of 1,370,886 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Holly Vance, NP?
Quality data not reportedPrimary specialty
Registered Nurse
Medicare Part D claims
248 75% vs specialty avg
Specialty distribution in Tennessee
How Registered Nurse compares to other specialties among Tennessee providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Registered Nurse. Verify directly:
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).
Holly Vance, NP appears in the CMS NPPES registry as a Registered Nurse provider holding NP credentials at 620 STATE ST STE 3010, Bristol, TN, 37620, with a listed phone of (423) 217-0919. NPI 1194064642 was issued on 02/04/2013.
Medicare Part D records for calendar year 2023 show 248 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $6K in drug spend, split 5% brand-name and 95% generic by claim count.
Registered Nurse is a high-volume specialty nationwide, with 177,204 enrolled providers across 56 states and an average of 1,000 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 | 1194064642 |
|---|---|
| Specialty | Registered Nurse |
| Credentials | NP |
| Gender | Female |
| NPI Issued | 02/04/2013 |
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 Vance, NP. Source: openpaymentsdata.cms.gov.
Total received
$31
Largest payer
Abbott Laboratories
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
Holly Vance, NP - brand share 5.0%
Registered Nurse average
5% brand-name claims vs 95% generic, on 248 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.
248
Total Claims
$6K
Total Drug Cost
13
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 280
- Total Day Supply
- 8,355
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $904
- Generic Drug Cost
- $6K
Patient Demographics
- Average Patient Age
- 62.8 years
- Avg HCC Risk Score
- 0.95
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Holly Vance, NP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clonazepam
Clonazepam
55 claims
- Duloxetine Hcl
Duloxetine Hcl
27 claims
- Alprazolam
Alprazolam
24 claims
- Lamotrigine
Lamotrigine
24 claims
- Quetiapine Fumarate
Quetiapine Fumarate
24 claims
- Aripiprazole 20
Aripiprazole
20 claims
- Amitriptyline Hcl 13
Amitriptyline Hcl
13 claims
- Dextroamphetamine-… 13
Dextroamphetamine-Amphet Er
13 claims
| Drug | Claims |
|---|---|
| Clonazepam | 55 |
| Duloxetine Hcl | 27 |
| Alprazolam | 24 |
| Lamotrigine | 24 |
| Quetiapine Fumarate | 24 |
| Aripiprazole | 20 |
| Amitriptyline Hcl | 13 |
| Dextroamphetamine-Amphet Er Dextroamphetamine/Amphetamine | 13 |
| Citalopram Hbr Citalopram Hydrobromide | 11 |
| Gabapentin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Registered Nurse Overview
How Holly Vance, NP fits within the Registered Nurse landscape nationally.
177,204
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider
Holly Vance, NP's 248 claims are below the specialty average of 1,000.
Nearby Registered Nurse Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Vance.
Angela Abbott
Livingston, TN
Ryan Abbott
Nashville, TN
Dr. Stephanie Abbu
DNP, RN
Nashville, TN
Dr. Tina Abdoo
RN
Clarksville, TN
Dijin Abdulkader
Nashville, TN
Compare Registered Nurse 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 Registered Nurse 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 Holly Vance, NP's specialty? ▼
Holly Vance, NP specializes in Registered Nurse and practices in Bristol, Tennessee. Credentials: NP.
How much does Holly Vance, NP prescribe under Medicare Part D? ▼
In 2023, Holly Vance, NP wrote 248 Medicare Part D claims totaling $6K in drug costs for 13 beneficiaries.
Where is Holly Vance, NP located? ▼
Holly Vance, NP is located at 620 STATE ST STE 3010, Bristol, TN, 37620. Phone: (423) 217-0919.
What is Holly Vance, NP's NPI number? ▼
Holly Vance, NP's National Provider Identifier (NPI) is 1194064642, issued on 02/04/2013.
Does Holly Vance, NP prescribe more brand-name or generic drugs? ▼
Holly Vance, NP's prescribing is 5% brand-name and 95% generic drugs by claim count, with $904 in brand drug costs.
How many Registered Nurse providers are there in the US? ▼
There are 177,204 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does Holly Vance, NP prescribe most often? ▼
Based on 2023 Medicare Part D data, Holly Vance, NP's most frequently prescribed drugs include Clonazepam, Duloxetine Hcl, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Holly Vance, NP accept Medicare? ▼
Holly Vance, NP appears in CMS Medicare data with 248 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Holly Vance, NP's credentials? ▼
Holly Vance, NP's NPI is 1194064642 with credentials NP. 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.
- 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
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.