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2026 NPPES data Family Nurse Practitioner NPI 1083361083 FNP-C
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Joshua Holt, FNP-C

Family Nurse Practitioner in Clarksville, 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 216,959 in Family Nurse Practitioner, 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
3K
Medicare Part D claims · 170 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
56.4/100
▼ 27 pts below national avg 83.5 · Mid-tier
Industry payments
$517.99
36 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Joshua Holt, FNP-C reported a CMS MIPS final score of 56.4/100 - below the 83.5 national average - and filed 3,470 Medicare Part D claims in 2024.

56.4/100
MIPS score · -27 vs avg
3K
Part D claims, 2024
90%
generic prescribing
$517.99
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.

Federal trust snapshot

What official records show about Joshua Holt, FNP-C

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1083361083), first enumerated 03/09/2022.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 3,470 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 56.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Industry payment transparency

    $517.99 in reported industry payments (36 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1083361083 · Family Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-LOW · RX-MID · BOOK-MID · PHOTO-FINISH

  • NPI-10 1083361083
  • ENUM-RECENT 2022
  • TAX-MEGA 217K Family Nurse
  • MIPS-LOW 56.4/100
  • RX-MID 3,470
  • BOOK-MID 8,078 in Tennessee
  • PHOTO-FINISH Lorissa Dias · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Joshua Holt, FNP-C's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

56 ≥ 5th percentile 5% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). This entry sits in this band. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Joshua Holt, FNP-C sits

This provider among family nurse practitioner peers

Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Joshua Holt, FNP-C writes more Part D claims than 90% of them and scores higher on MIPS quality than 4% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Joshua Holt, FNP-C, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 4
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Joshua Holt, FNP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Joshua Holt, FNP-C?

Below national average

NPI registry status

Active

Issued 03/09/2022

NPI 1083361083

Primary specialty

Family Nurse Practitioner

High-volume

216,959 US NPIs in this specialty

Medicare Part D claims

3,470 167% vs specialty avg

2024 prescription claims

Specialty avg: 1,302

MIPS final score

56.4/100 27.1 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Tennessee

How Family Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers
Family Nurse Practitioner6.4%Pharmacist5.8%Student in an Organized Heal…4.7%Behavior Technician4.5%Physical Therapist4.2%Registered Nurse3.9%
Largest specialties in Tennessee (% of in-state providers)

Medicare quality performance, MIPS

Joshua Holt, FNP-C's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
56.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%56.4%
MIPS final score (Family Nurse Practitioner) - 56.4/100 vs national avg 83.5
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).

Practice Address

1849 MADISON ST
Clarksville, TN 37043
(931) 802-6824

Provider Details

NPI 1083361083
Specialty Family Nurse Practitioner
Credentials FNP-C
Gender Male
NPI Issued 03/09/2022

CMS Quality Score (MIPS)

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

56.4169
Final Score
Measured-score avg: 83.5
54.4382
Quality
94.188
Cost

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 Joshua Holt, FNP-C. Source: openpaymentsdata.cms.gov.

Total received

$518

Largest payer

Salix Pharmaceuticals, a division of Bausch Health US, LLC

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 · Typical

Joshua Holt, FNP-C - brand share 10.0%
Family Nurse Practitioner average

10% brand-name claims vs 90% generic, on 3,470 2024 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 2024.

3,470
Total Claims
$304K
Total Drug Cost
170
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,526.6
Total Day Supply
96,972
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$231K
Generic Drug Cost
$72K
Opioid Claims
1,859 (53.6% rate)

Patient Demographics

Average Patient Age
66.7 years
Avg HCC Risk Score
1.93
Gender Split
63% female / 37% male
Age Distribution
<65: 54, 65-74: 83, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Joshua Holt, FNP-C prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
517
Gabapentin
 507
Oxycodone Hcl
 487
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
408
Morphine Sulfate Er
Morphine Sulfate
203
Tizanidine Hcl
 161
Pregabalin
 114
Cyclobenzaprine Hcl
 101
Xtampza Er
Oxycodone Myristate
93
Baclofen
 90

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

More Family Nurse Practitioner in TN → All providers in Tennessee → Compare specialties →

Family Nurse Practitioner Overview

How Joshua Holt, FNP-C fits within the Family Nurse Practitioner landscape nationally.

216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider

Joshua Holt, FNP-C's 3,470 claims are above the specialty average of 1,302.

Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Holt, both outside Tennessee so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (56.4 here).

Lorissa Dias 56.4 KY Michelle Andersen 56.4 MI Markus Byron 56.4 MI Amy Delaney 56.4 MI

Same NPPES enumeration year (2022)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Owen Davis Scarborough, ME Mitchell Washburn Louisville, KY Alaysha Germosen Cincinnati, OH Renny Mesa Rivero Coral Gables, FL

Nearby Family Nurse Practitioner Providers in Tennessee

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

One of 8,078 Family Nurse Practitioner providers enrolled in Tennessee, 5 are shown here.

Benjamin Aaron
FNP-C
Cookeville, TN
Sandra Aaron
FNP-BC
Ooltewah, TN
Jessica Abbott
FNP
Nashville, TN
Keshia Abbott
Cookeville, TN
Felecia Abdelfattah
APRN BC
Bristol, TN

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Joshua Holt, FNP-C's specialty? ▼
Joshua Holt, FNP-C specializes in Family Nurse Practitioner and practices in Clarksville, Tennessee. Credentials: FNP-C.
How much does Joshua Holt, FNP-C prescribe under Medicare Part D? ▼
In 2024, Joshua Holt, FNP-C wrote 3,470 Medicare Part D claims totaling $304K in drug costs for 170 beneficiaries.
What is Joshua Holt, FNP-C's Medicare quality score? ▼
Joshua Holt, FNP-C has a CMS MIPS Final Score of 56.4/100 (Quality: 54.4, Cost: 94.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joshua Holt, FNP-C located? ▼
Joshua Holt, FNP-C is located at 1849 MADISON ST, Clarksville, TN, 37043. Phone: (931) 802-6824.
What is Joshua Holt, FNP-C's NPI number? ▼
Joshua Holt, FNP-C's National Provider Identifier (NPI) is 1083361083, issued on 03/09/2022.
Does Joshua Holt, FNP-C prescribe more brand-name or generic drugs? ▼
Joshua Holt, FNP-C's prescribing is 10% brand-name and 90% generic drugs by claim count, with $231K in brand drug costs.
Does Joshua Holt, FNP-C prescribe opioids? ▼
Yes, Joshua Holt, FNP-C had 1,859 opioid claims in 2024 with an opioid prescribing rate of 53.6%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Joshua Holt, FNP-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Joshua Holt, FNP-C's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joshua Holt, FNP-C accept Medicare? ▼
Joshua Holt, FNP-C appears in CMS Medicare data with 3,470 Part D claims and 170 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joshua Holt, FNP-C's credentials? ▼
Joshua Holt, FNP-C's NPI is 1083361083 with credentials FNP-C. 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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

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 August 2026.