2026 NPPES data Diabetes Educator Registered Nurse NPI 1104025493 APRN, CDE
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JOLENE GROTHE, APRN, CDE

Diabetes Educator Registered Nurse in WICHITA, Kansas. 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
6K
Medicare Part D claims · 494 beneficiaries · Diabetes Educator Registered Nurse avg: 1K
Generic prescribing
33%
generic claims · 67% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.939/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$2.7K
150 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOLENE GROTHE, APRN, CDE reported a CMS MIPS final score of 78.939/100 — below the 83.1 national average — and filed 5,594 Medicare Part D claims in 2023.

78.939/100
MIPS score · -4 vs avg
6K
Part D claims, 2023
33%
generic prescribing
$2.7K
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.

JOLENE GROTHE, APRN, CDE's MIPS score vs every scored U.S. clinician

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

79 27th percentile higher than 27% 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%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 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 JOLENE GROTHE, APRN, CDE?

Near national average

NPI registry status

Active

Issued 07/16/2007

NPI 1104025493

Primary specialty

Diabetes Educator Registered Nurse

Niche

2,273 US NPIs in this specialty

Medicare Part D claims

5,594 332% vs specialty avg

2023 prescription claims

Specialty avg: 1,296

MIPS final score

78.939/100 4.161000000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kansas

How Diabetes Educator Registered Nurse compares to other specialties among Kansas providers

Kansas providers

Diabetes Educator Registered Nurse share within Kansas

1. Diabetes Educator Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Diabetes Educator Registered Nurse share within Kansas

Medicare quality performance — MIPS

JOLENE GROTHE, APRN, CDE's 2023 MIPS final score plotted against the Diabetes Educator Registered Nurse national average

Near national average
MIPS Final Score
78.939/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Diabetes Educator Registered Nurse) — 78.939/100 vs national avg 83.1

0%100%National avg83%78.9%
MIPS final score (Diabetes Educator Registered Nurse) — 78.939/100 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).

JOLENE GROTHE, APRN, CDE appears in the CMS NPPES registry as a Diabetes Educator Registered Nurse provider holding APRN, CDE credentials at 8110 E 32ND ST N STE 125, WICHITA, KS, 67226, with a listed phone of (316) 330-3636. NPI 1104025493 was issued on 07/16/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GROTHE 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 5,594 prescription claims written by this provider, covering 494 Medicare beneficiaries and totaling roughly $3.3 million in drug spend, split 67% brand-name and 33% 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 78.939/100 for the 2023 performance year (Quality 89.4225, Cost 41.2075), compared with the national average of 83.1.

Diabetes Educator Registered Nurse is a narrow specialty nationwide, with 2,273 enrolled providers across 55 states and an average of 1,296 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

8110 E 32ND ST N STE 125
WICHITA, KS 67226

Provider Details

NPI 1104025493
Specialty Diabetes Educator Registered Nurse
Credentials APRN, CDE
Gender Female
NPI Issued 07/16/2007

CMS Quality Score (MIPS)

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

78.939
Final Score
Avg: 83.1
89.4225
Quality
41.2075
Cost
99
Promoting Interoperability

Reporting: Group practice

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 JOLENE GROTHE, APRN, CDE. Source: openpaymentsdata.cms.gov.

Total received

$2.7K

Largest payer

Corcept Therapeutics

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 · Brand-heavy

JOLENE GROTHE, APRN, CDE — brand share 67.0%
Specialty average (est.)

67% brand-name claims vs 33% generic, on 5,594 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.

5,594
Total Claims
$3.3M
Total Drug Cost
494
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,546
Total Day Supply
279,537
Brand vs Generic
67% brand / 33% generic
Brand Drug Cost
$3.2M
Generic Drug Cost
$31K

Patient Demographics

Average Patient Age
67.9 years
Avg HCC Risk Score
1.77
Gender Split
57% female / 43% male
Age Distribution
<65: 122, 65-74: 242, 75-84: 114, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

What JOLENE GROTHE, APRN, CDE 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
Ozempic
Semaglutide
654
Metformin Hcl Er
Metformin Hcl
412
Novolog Flexpen
Insulin Aspart
317
Tresiba Flextouch U-200
Insulin Degludec
296
Tresiba Flextouch U-100
Insulin Degludec
295
Jardiance
Empagliflozin
196
Levothyroxine Sodium
181
Atorvastatin Calcium
158
Mounjaro
Tirzepatide
156
Rosuvastatin Calcium
154

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

Diabetes Educator Registered Nurse Overview

How JOLENE GROTHE, APRN, CDE fits within the Diabetes Educator Registered Nurse landscape nationally.

2,273
Diabetes Educator Registered Nurse Providers in US
55
States with Diabetes Educator Registered Nurse
1,296
Avg Claims per Provider

JOLENE GROTHE, APRN, CDE's 5,594 claims are above the specialty average of 1,296.

Nearby Diabetes Educator Registered Nurse Providers in Kansas

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

Compare Diabetes Educator Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOLENE GROTHE, APRN, CDE's specialty?
JOLENE GROTHE, APRN, CDE specializes in Diabetes Educator Registered Nurse and practices in WICHITA, Kansas. Credentials: APRN, CDE.
How much does JOLENE GROTHE, APRN, CDE prescribe under Medicare Part D?
In 2023, JOLENE GROTHE, APRN, CDE wrote 5,594 Medicare Part D claims totaling $3.3M in drug costs for 494 beneficiaries.
What is JOLENE GROTHE, APRN, CDE's Medicare quality score?
JOLENE GROTHE, APRN, CDE has a CMS MIPS Final Score of 78.939/100 (Quality: 89.4225, Cost: 41.2075). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOLENE GROTHE, APRN, CDE located?
JOLENE GROTHE, APRN, CDE is located at 8110 E 32ND ST N STE 125, WICHITA, KS, 67226. Phone: (316) 330-3636.
What is JOLENE GROTHE, APRN, CDE's NPI number?
JOLENE GROTHE, APRN, CDE's National Provider Identifier (NPI) is 1104025493, issued on 07/16/2007.
Does JOLENE GROTHE, APRN, CDE prescribe more brand-name or generic drugs?
JOLENE GROTHE, APRN, CDE's prescribing is 67% brand-name and 33% generic drugs by claim count, with $3.2M in brand drug costs.
How many Diabetes Educator Registered Nurse providers are there in the US?
There are 2,273 Diabetes Educator Registered Nurse providers across 55 states in the US. The average Diabetes Educator Registered Nurse provider writes 1,296 Medicare Part D claims per year.
What drugs does JOLENE GROTHE, APRN, CDE prescribe most often?
Based on 2023 Medicare Part D data, JOLENE GROTHE, APRN, CDE's most frequently prescribed drugs include Ozempic, Metformin Hcl Er, Novolog Flexpen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOLENE GROTHE, APRN, CDE accept Medicare?
JOLENE GROTHE, APRN, CDE appears in CMS Medicare data with 5,594 Part D claims and 494 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOLENE GROTHE, APRN, CDE's credentials?
JOLENE GROTHE, APRN, CDE's NPI is 1104025493 with credentials APRN, CDE. 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