NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1821485384 FNP
Verify on CMS → Julie Agee, FNP
Family Nurse Practitioner in Powell, Wyoming.
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
799
Medicare Part D claims · 115 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
84%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
71.8/100
▼ 12 pts below national avg 83.5 · Mid-tier
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Julie Agee, FNP reported a CMS MIPS final score of 71.8/100 - below the 83.5 national average - and filed 799 Medicare Part D claims in 2024.
- 71.8/100
- MIPS score · -12 vs avg
- 799
- Part D claims, 2024
- 84%
- generic prescribing
- ≥9th
- pct among measured MIPS (lower-bound band)
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 Julie Agee, FNP
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 1821485384), first enumerated 04/22/2015.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 799 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 71.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- 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 1821485384 · Family Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-LOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1821485384
- ENUM-MID 2015
- TAX-MEGA 217K Family Nurse
- MIPS-LOW 71.8/100
- RX-LIGHT 799
- BOOK-THIN 424 in Wyoming
- PHOTO-FINISH Heather Abdalla · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Agee · this prov…
Agee · this provider
71.8 MIPS pts
- Kimberly Amy · h…
Kimberly Amy
71.8 MIPS pts
- Lorraine Kossol …
Lorraine Kossol
71.8 MIPS pts
- Heather Abdalla …
Heather Abdalla
71.8 MIPS pts
- Ekaette Akwa · n…
Ekaette Akwa
71.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Julie Agee, FNP'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.
72 ≥ 9th percentile 9% of 454,083 measured providers are in lower value bands
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 Julie Agee, FNP 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, Julie Agee, FNP writes more Part D claims than 64% of them and scores higher on MIPS quality than 9% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Julie Agee, FNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Julie Agee, FNP?
Below national averagePrimary specialty
Family Nurse Practitioner
Medicare Part D claims
799 39% vs specialty avg
MIPS final score
71.8/100 11.7 pts vs avg
Specialty distribution in Wyoming
How Family Nurse Practitioner compares to other specialties among Wyoming providers
Medicare quality performance, MIPS
Julie Agee, FNP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 71.8/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1821485384 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | FNP |
| Gender | Female |
| NPI Issued | 04/22/2015 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
71.7793
Final Score
Measured-score avg: 83.5
77.3079
Quality
28.623
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Julie Agee, FNP 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.
Bighorn Valley Health Center Incorporated
Powell, WY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Julie Agee, FNP - brand share 15.0%
Family Nurse Practitioner average
15% brand-name claims vs 84% generic, on 799 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.
799
Total Claims
$74K
Total Drug Cost
115
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,648.567
- Total Day Supply
- 46,520
- Brand vs Generic
- 15% brand / 84% generic
- Brand Drug Cost
- $62K
- Generic Drug Cost
- $11K
- Antibiotic Claims
- 46
Patient Demographics
- Average Patient Age
- 69.7 years
- Avg HCC Risk Score
- 0.93
- Gender Split
- 71% female / 29% male
- Age Distribution
- <65: 20, 65-74: 70, 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 Julie Agee, FNP prescribes most
Top Medicare Part D drugs by claim count, 2024
- Lisinopril
Lisinopril
36 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
34 claims
- Atorvastatin Calcium
Atorvastatin Calcium
31 claims
- Losartan-Hydrochlo…
Losartan-Hydrochlorothiazide
30 claims
- Meloxicam
Meloxicam
25 claims
- Amlodipine Besylate
Amlodipine Besylate
24 claims
- Jardiance
Jardiance
23 claims
- Levothyroxine Sodium
Levothyroxine Sodium
23 claims
| Drug | Claims |
|---|---|
| Lisinopril | 36 |
| Rosuvastatin Calcium | 34 |
| Atorvastatin Calcium | 31 |
| Losartan-Hydrochlorothiazide Losartan/Hydrochlorothiazide | 30 |
| Meloxicam | 25 |
| Amlodipine Besylate | 24 |
| Jardiance Empagliflozin | 23 |
| Levothyroxine Sodium | 23 |
| Metformin Hcl Er Metformin Hcl | 22 |
| Buspirone Hcl | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Julie Agee, FNP 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
Julie Agee, FNP's 799 claims are below the specialty average of 1,302.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Agee, both outside Wyoming so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (71.8 here).
Same NPPES enumeration year (2015)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Wyoming
Other clinicians with the same primary specialty enrolled in Wyoming, drawn from the same CMS NPPES roster as Agee.
One of 424 Family Nurse Practitioner providers enrolled in Wyoming, 5 are shown here.
Nadja Aleman
APRN
Sheridan, WY
Dr. Karen Alexander
DNP
Lusk, WY
Misty Alexander
FNP-C
Gillette, WY
Ann Anderson
N.P.
Cheyenne, WY
Dr. Kelsie Anderson
DNP, FNP-BC
Cheyenne, WY
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Julie Agee, FNP's specialty? ▼
Julie Agee, FNP specializes in Family Nurse Practitioner and practices in Powell, Wyoming. Credentials: FNP.
How much does Julie Agee, FNP prescribe under Medicare Part D? ▼
In 2024, Julie Agee, FNP wrote 799 Medicare Part D claims totaling $74K in drug costs for 115 beneficiaries.
What is Julie Agee, FNP's Medicare quality score? ▼
Julie Agee, FNP has a CMS MIPS Final Score of 71.8/100 (Quality: 77.3, Cost: 28.6). 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 Julie Agee, FNP located? ▼
Julie Agee, FNP is located at 1201 E 7TH ST, Powell, WY, 82435. Phone: (307) 764-4107.
What is Julie Agee, FNP's NPI number? ▼
Julie Agee, FNP's National Provider Identifier (NPI) is 1821485384, issued on 04/22/2015.
Does Julie Agee, FNP prescribe more brand-name or generic drugs? ▼
Julie Agee, FNP's prescribing is 15% brand-name and 84% generic drugs by claim count, with $62K in brand drug costs.
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 Julie Agee, FNP prescribe most often? ▼
Based on 2024 Medicare Part D data, Julie Agee, FNP's most frequently prescribed drugs include Lisinopril, Rosuvastatin Calcium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Julie Agee, FNP accept Medicare? ▼
Julie Agee, FNP appears in CMS Medicare data with 799 Part D claims and 115 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Julie Agee, FNP's credentials? ▼
Julie Agee, FNP's NPI is 1821485384 with credentials FNP. 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
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.