2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1861845190 APRN - CNS
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JAMIE SPENCE, APRN - CNS

Adult Health Clinical Nurse Specialist in ARDMORE, Oklahoma. 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
1K
Medicare Part D claims · 372 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
Industry payments
$1.1K
24 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMIE SPENCE, APRN - CNS filed 1,086 Medicare Part D claims in 2023 as a Adult Health Clinical Nurse Specialist in ARDMORE, Oklahoma.

1K
Part D claims, 2023
$1.1K
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.

JAMIE SPENCE, APRN - CNS's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,086 Top 24% higher than 76% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about JAMIE SPENCE, APRN - CNS?

Quality data not reported

NPI registry status

Active

Issued 07/21/2016

NPI 1861845190

Primary specialty

Adult Health Clinical Nurse Specialist

Niche

1,375 US NPIs in this specialty

Medicare Part D claims

1,086 0% vs specialty avg

2023 prescription claims

Specialty avg: 1,088

Specialty distribution in Oklahoma

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

Oklahoma providers

Adult Health Clinical Nurse Specialist share within Oklahoma

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

Specialty board-certification context

Estimated specialty board-certified rate — Adult Health Clinical Nurse Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Health Clinical Nurse Specialist ABMS/AOA estimate

Est. board-certified rate (Adult Health Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Health Clinical Nurse Specialist) — ABMS / AOA estimate

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).

JAMIE SPENCE, APRN - CNS appears in the CMS NPPES registry as a Adult Health Clinical Nurse Specialist provider holding APRN - CNS credentials at 731 12TH AVE NW STE 302, ARDMORE, OK, 73401, with a listed phone of (580) 220-6200. NPI 1861845190 was issued on 07/21/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPENCE 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 1,086 prescription claims written by this provider, covering 372 Medicare beneficiaries and totaling roughly $26K in drug spend. 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.

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

731 12TH AVE NW STE 302
ARDMORE, OK 73401

Provider Details

NPI 1861845190
Specialty Adult Health Clinical Nurse Specialist
Credentials APRN - CNS
Gender Female
NPI Issued 07/21/2016

Hospital and facility affiliations

Facilities where JAMIE SPENCE, APRN - 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.

GENESIS MEDICAL PLLC
ARDMORE, OK

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 JAMIE SPENCE, APRN - CNS. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Boston Scientific Corporation

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,086
Total Claims
$26K
Total Drug Cost
372
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,309
Total Day Supply
38,597
Generic Drug Cost
$25K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.40
Gender Split
67% female / 33% male
Age Distribution
<65: 78, 65-74: 156, 75-84: 112, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

What JAMIE SPENCE, APRN - CNS 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
Gabapentin
425
Meloxicam
124
Tizanidine Hcl
123
Celecoxib
95
Baclofen
80
Cyclobenzaprine Hcl
64
Nortriptyline Hcl
53
Diclofenac Sodium
23
Duloxetine Hcl
22
Methocarbamol
21

* 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 JAMIE SPENCE, APRN - 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

JAMIE SPENCE, APRN - CNS's 1,086 claims are below the specialty average of 1,088.

Nearby Adult Health Clinical Nurse Specialist Providers in Oklahoma

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

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

Frequently Asked Questions

What is JAMIE SPENCE, APRN - CNS's specialty?
JAMIE SPENCE, APRN - CNS specializes in Adult Health Clinical Nurse Specialist and practices in ARDMORE, Oklahoma. Credentials: APRN - CNS.
How much does JAMIE SPENCE, APRN - CNS prescribe under Medicare Part D?
In 2023, JAMIE SPENCE, APRN - CNS wrote 1,086 Medicare Part D claims totaling $26K in drug costs for 372 beneficiaries.
Where is JAMIE SPENCE, APRN - CNS located?
JAMIE SPENCE, APRN - CNS is located at 731 12TH AVE NW STE 302, ARDMORE, OK, 73401. Phone: (580) 220-6200.
What is JAMIE SPENCE, APRN - CNS's NPI number?
JAMIE SPENCE, APRN - CNS's National Provider Identifier (NPI) is 1861845190, issued on 07/21/2016.
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 JAMIE SPENCE, APRN - CNS prescribe most often?
Based on 2023 Medicare Part D data, JAMIE SPENCE, APRN - CNS's most frequently prescribed drugs include Gabapentin, Meloxicam, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMIE SPENCE, APRN - CNS accept Medicare?
JAMIE SPENCE, APRN - CNS appears in CMS Medicare data with 1,086 Part D claims and 372 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMIE SPENCE, APRN - CNS's credentials?
JAMIE SPENCE, APRN - CNS's NPI is 1861845190 with credentials APRN - 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.
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