2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1972880946 CNS-AD
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JEAN KERNAL, CNS-AD

Adult Health Clinical Nurse Specialist in FORT WORTH, 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
578
Medicare Part D claims · 98 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$74.63
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JEAN KERNAL, CNS-AD filed 578 Medicare Part D claims in 2023 as a Adult Health Clinical Nurse Specialist in FORT WORTH, Texas, prescribing 80% generic.

578
Part D claims, 2023
80%
generic prescribing
$74.63
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.

JEAN KERNAL, CNS-AD's Medicare Part D volume vs every U.S. prescriber

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

578 Top 34% higher than 66% 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%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 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 JEAN KERNAL, CNS-AD?

Quality data not reported

NPI registry status

Active

Issued 11/04/2011

NPI 1972880946

Primary specialty

Adult Health Clinical Nurse Specialist

Niche

1,375 US NPIs in this specialty

Medicare Part D claims

578 47% vs specialty avg

2023 prescription claims

Specialty avg: 1,088

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

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).

JEAN KERNAL, CNS-AD appears in the CMS NPPES registry as a Adult Health Clinical Nurse Specialist provider holding CNS-AD credentials at 1250 8TH AVE, FORT WORTH, TX, 76104, with a listed phone of (817) 922-4675. NPI 1972880946 was issued on 11/04/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KERNAL 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 578 prescription claims written by this provider, covering 98 Medicare beneficiaries and totaling roughly $539K in drug spend, split 20% brand-name and 80% 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.

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

1250 8TH AVE
FORT WORTH, TX 76104

Provider Details

NPI 1972880946
Specialty Adult Health Clinical Nurse Specialist
Credentials CNS-AD
Gender Female
NPI Issued 11/04/2011

Hospital and facility affiliations

Facilities where JEAN KERNAL, CNS-AD 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.

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
MORGANTOWN, WV

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 JEAN KERNAL, CNS-AD. Source: openpaymentsdata.cms.gov.

Total received

$75

Largest payer

ABBVIE 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.

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 JEAN KERNAL, CNS-AD. To verify JEAN KERNAL, CNS-AD'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 · Typical

JEAN KERNAL, CNS-AD — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 578 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.

578
Total Claims
$539K
Total Drug Cost
98
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
958
Total Day Supply
27,752
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$519K
Generic Drug Cost
$20K
Antibiotic Claims
90

Patient Demographics

Average Patient Age
66.6 years
Avg HCC Risk Score
2.26
Gender Split
62% female / 38% male
Age Distribution
<65: 39, 65-74: 37, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What JEAN KERNAL, CNS-AD 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
Xifaxan
Rifaximin
86
Spironolactone
84
Furosemide
70
Omeprazole
35
Lactulose
30
Carvedilol
26
Ursodiol
20
Famotidine
19
Ondansetron Odt
Ondansetron
19
Constulose
Lactulose
18

* 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 JEAN KERNAL, CNS-AD 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

JEAN KERNAL, CNS-AD's 578 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 KERNAL.

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

Frequently Asked Questions

What is JEAN KERNAL, CNS-AD's specialty?
JEAN KERNAL, CNS-AD specializes in Adult Health Clinical Nurse Specialist and practices in FORT WORTH, Texas. Credentials: CNS-AD.
How much does JEAN KERNAL, CNS-AD prescribe under Medicare Part D?
In 2023, JEAN KERNAL, CNS-AD wrote 578 Medicare Part D claims totaling $539K in drug costs for 98 beneficiaries.
Where is JEAN KERNAL, CNS-AD located?
JEAN KERNAL, CNS-AD is located at 1250 8TH AVE, FORT WORTH, TX, 76104. Phone: (817) 922-4675.
What is JEAN KERNAL, CNS-AD's NPI number?
JEAN KERNAL, CNS-AD's National Provider Identifier (NPI) is 1972880946, issued on 11/04/2011.
Does JEAN KERNAL, CNS-AD prescribe more brand-name or generic drugs?
JEAN KERNAL, CNS-AD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $519K 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 JEAN KERNAL, CNS-AD prescribe most often?
Based on 2023 Medicare Part D data, JEAN KERNAL, CNS-AD's most frequently prescribed drugs include Xifaxan, Spironolactone, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JEAN KERNAL, CNS-AD accept Medicare?
JEAN KERNAL, CNS-AD appears in CMS Medicare data with 578 Part D claims and 98 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JEAN KERNAL, CNS-AD's credentials?
JEAN KERNAL, CNS-AD's NPI is 1972880946 with credentials CNS-AD. 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