2026 NPPES data Clinical Nurse Specialist NPI 1356792956 APN
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JESSICA GAMBLIN, APN

Clinical Nurse Specialist in PEORIA, Illinois. 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
229
Medicare Part D claims · 82 beneficiaries · Clinical Nurse Specialist avg: 953
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.9328/100
▼ 10 pts below national avg 83.1 · [object Object]
What the federal data reveals: JESSICA GAMBLIN, APN is a Clinical Nurse Specialist ([object Object]) practicing in PEORIA, Illinois with a Medicare Part D prescribing footprint of 229 claims across 82 beneficiaries — 14% brand-name prescribing . Their CMS MIPS Final Score of 72.9328/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JESSICA GAMBLIN, APN reported a CMS MIPS final score of 72.9328 out of 100, below the 83.1 national average, and filed 229 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JESSICA GAMBLIN, APN at a glance

Below national average

NPI registry status

Active

Issued 06/24/2016

NPI 1356792956

Primary specialty

Clinical Nurse Specialist

Niche

1,708 US NPIs in this specialty

Medicare Part D claims

229 76% vs specialty avg

2023 prescription claims

Specialty avg: 953

MIPS final score

72.9328/100 10.167199999999994% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Illinois

How Clinical Nurse Specialist compares to other specialties among Illinois providers

Illinois providers

Clinical Nurse Specialist share within Illinois

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

Medicare quality performance — MIPS

JESSICA GAMBLIN, APN's 2023 MIPS final score plotted against the Clinical Nurse Specialist national average

Below national average
MIPS Final Score
72.9328/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Nurse Specialist) — 72.9328/100 vs national avg 83.1

0%100%National avg83%72.9%
MIPS final score (Clinical Nurse Specialist) — 72.9328/100 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).

JESSICA GAMBLIN, APN is a Clinical Nurse Specialist provider practicing in PEORIA, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APN. NPI: 1356792956. 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.

JESSICA GAMBLIN, APN appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding APN credentials at 8940 N WOOD SAGE RD, PEORIA, IL, 61615, with a listed phone of (309) 243-3000. NPI 1356792956 was issued on 06/24/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAMBLIN 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 229 prescription claims written by this provider, covering 82 Medicare beneficiaries and totaling roughly $55K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 31.9%. 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 72.9328/100 for the 2023 performance year (Quality 63.962, Cost 48.9367), compared with the national average of 83.1.

Clinical Nurse Specialist is a narrow specialty nationwide, with 1,708 enrolled providers across 49 states and an average of 953 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

8940 N WOOD SAGE RD
PEORIA, IL 61615

Provider Details

NPI 1356792956
Specialty Clinical Nurse Specialist
Credentials APN
Gender Female
NPI Issued 06/24/2016

CMS Quality Score (MIPS)

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

72.9328
Final Score
Avg: 83.1
63.962
Quality
48.9367
Cost
86
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JESSICA GAMBLIN, APN 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.

ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C
PEORIA, IL

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

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to JESSICA GAMBLIN, APN. To verify JESSICA GAMBLIN, APN's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JESSICA GAMBLIN, APN — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 229 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.

229
Total Claims
$55K
Total Drug Cost
82
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
295
Total Day Supply
6,243
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$43K
Generic Drug Cost
$11K
Opioid Claims
73 (31.9% rate)
Antibiotic Claims
12

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
2.55
Gender Split
52% female / 48% 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
46
Potassium Chloride
22
Prednisone
12

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

Clinical Nurse Specialist Overview

How JESSICA GAMBLIN, APN fits within the Clinical Nurse Specialist landscape nationally.

1,708
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider

JESSICA GAMBLIN, APN's 229 claims are below the specialty average of 953.

Nearby Clinical Nurse Specialist Providers in Illinois

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

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

Frequently Asked Questions

What is JESSICA GAMBLIN, APN's specialty?
JESSICA GAMBLIN, APN specializes in Clinical Nurse Specialist and practices in PEORIA, Illinois. Credentials: APN.
How much does JESSICA GAMBLIN, APN prescribe under Medicare Part D?
In 2023, JESSICA GAMBLIN, APN wrote 229 Medicare Part D claims totaling $55K in drug costs for 82 beneficiaries.
What is JESSICA GAMBLIN, APN's Medicare quality score?
JESSICA GAMBLIN, APN has a CMS MIPS Final Score of 72.9328/100 (Quality: 63.962, Cost: 48.9367). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JESSICA GAMBLIN, APN located?
JESSICA GAMBLIN, APN is located at 8940 N WOOD SAGE RD, PEORIA, IL, 61615. Phone: (309) 243-3000.
What is JESSICA GAMBLIN, APN's NPI number?
JESSICA GAMBLIN, APN's National Provider Identifier (NPI) is 1356792956, issued on 06/24/2016.
Does JESSICA GAMBLIN, APN prescribe more brand-name or generic drugs?
JESSICA GAMBLIN, APN's prescribing is 14% brand-name and 86% generic drugs by claim count, with $43K in brand drug costs.
Does JESSICA GAMBLIN, APN prescribe opioids?
Yes, JESSICA GAMBLIN, APN had 73 opioid claims in 2023 with an opioid prescribing rate of 31.9%.
How many Clinical Nurse Specialist providers are there in the US?
There are 1,708 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does JESSICA GAMBLIN, APN prescribe most often?
Based on 2023 Medicare Part D data, JESSICA GAMBLIN, APN's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Potassium Chloride, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JESSICA GAMBLIN, APN accept Medicare?
JESSICA GAMBLIN, APN appears in CMS Medicare data with 229 Part D claims and 82 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JESSICA GAMBLIN, APN's credentials?
JESSICA GAMBLIN, APN's NPI is 1356792956 with credentials APN. 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