2026 NPPES data Obstetrics & Gynecology Nurse Practitioner NPI 1295823144 WHNP
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KAREN HILBERT, WHNP

Obstetrics & Gynecology Nurse Practitioner in ASHEVILLE, North Carolina. 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
87
Medicare Part D claims · 31 beneficiaries · Obstetrics & Gynecology Nurse Practitioner avg: 232
MIPS score
93.5111/100
▲ 10 pts above national avg 83.1 · [object Object]

What the federal data shows

KAREN HILBERT, WHNP reported a CMS MIPS final score of 93.5111/100 — above the 83.1 national average — and filed 87 Medicare Part D claims in 2023.

93.5111/100
MIPS score · +10 vs avg
87
Part D claims, 2023

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.

KAREN HILBERT, WHNP's MIPS score vs every scored U.S. clinician

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

94 Top 29% higher than 71% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 KAREN HILBERT, WHNP?

High performer (top quartile)

NPI registry status

Active

Issued 10/10/2006

NPI 1295823144

Primary specialty

Obstetrics & Gynecology Nurse Practitioner

Niche

2,864 US NPIs in this specialty

Medicare Part D claims

87 62% vs specialty avg

2023 prescription claims

Specialty avg: 232

MIPS final score

93.5111/100 10.411100000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Obstetrics & Gynecology Nurse Practitioner compares to other specialties among North Carolina providers

North Carolina providers

Obstetrics & Gynecology Nurse Practitioner share within North Carolina

1. Obstetrics & Gynecology Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Nurse Practitioner share within North Carolina

Medicare quality performance — MIPS

KAREN HILBERT, WHNP's 2023 MIPS final score plotted against the Obstetrics & Gynecology Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
93.5111/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Nurse Practitioner) — 93.5111/100 vs national avg 83.1

0%100%National avg83%93.5%
MIPS final score (Obstetrics & Gynecology Nurse Practitioner) — 93.5111/100 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).

KAREN HILBERT, WHNP appears in the CMS NPPES registry as a Obstetrics & Gynecology Nurse Practitioner provider holding WHNP credentials at 119 HENDERSONVILLE RD, ASHEVILLE, NC, 28803, with a listed phone of (828) 771-5500. NPI 1295823144 was issued on 10/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HILBERT 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 87 prescription claims written by this provider, covering 31 Medicare beneficiaries and totaling roughly $5K in drug spend. 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 93.5111/100 for the 2023 performance year (Quality 84.2392), compared with the national average of 83.1.

Obstetrics & Gynecology Nurse Practitioner is a narrow specialty nationwide, with 2,864 enrolled providers across 52 states and an average of 232 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

119 HENDERSONVILLE RD
ASHEVILLE, NC 28803

Provider Details

NPI 1295823144
Specialty Obstetrics & Gynecology Nurse Practitioner
Credentials WHNP
Gender Female
NPI Issued 10/10/2006

CMS Quality Score (MIPS)

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

93.5111
Final Score
Avg: 83.1
84.2392
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KAREN HILBERT, WHNP 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.

MOUNTAIN AREA HEALTH EDUCATION CENTER INC
ASHEVILLE, NC

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

87
Total Claims
$5K
Total Drug Cost
31
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
169
Total Day Supply
4,353
Generic Drug Cost
$3K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
64.8 years
Avg HCC Risk Score
1.00
Gender Split
100% female / 0% 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
Clobetasol Propionate
14
Estradiol
12

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

Obstetrics & Gynecology Nurse Practitioner Overview

How KAREN HILBERT, WHNP fits within the Obstetrics & Gynecology Nurse Practitioner landscape nationally.

2,864
Obstetrics & Gynecology Nurse Practitioner Providers in US
52
States with Obstetrics & Gynecology Nurse Practitioner
232
Avg Claims per Provider

KAREN HILBERT, WHNP's 87 claims are below the specialty average of 232.

Nearby Obstetrics & Gynecology Nurse Practitioner Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as HILBERT.

Compare Obstetrics & Gynecology Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAREN HILBERT, WHNP's specialty?
KAREN HILBERT, WHNP specializes in Obstetrics & Gynecology Nurse Practitioner and practices in ASHEVILLE, North Carolina. Credentials: WHNP.
How much does KAREN HILBERT, WHNP prescribe under Medicare Part D?
In 2023, KAREN HILBERT, WHNP wrote 87 Medicare Part D claims totaling $5K in drug costs for 31 beneficiaries.
What is KAREN HILBERT, WHNP's Medicare quality score?
KAREN HILBERT, WHNP has a CMS MIPS Final Score of 93.5111/100 (Quality: 84.2392). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAREN HILBERT, WHNP located?
KAREN HILBERT, WHNP is located at 119 HENDERSONVILLE RD, ASHEVILLE, NC, 28803. Phone: (828) 771-5500.
What is KAREN HILBERT, WHNP's NPI number?
KAREN HILBERT, WHNP's National Provider Identifier (NPI) is 1295823144, issued on 10/10/2006.
How many Obstetrics & Gynecology Nurse Practitioner providers are there in the US?
There are 2,864 Obstetrics & Gynecology Nurse Practitioner providers across 52 states in the US. The average Obstetrics & Gynecology Nurse Practitioner provider writes 232 Medicare Part D claims per year.
What drugs does KAREN HILBERT, WHNP prescribe most often?
Based on 2023 Medicare Part D data, KAREN HILBERT, WHNP's most frequently prescribed drugs include Clobetasol Propionate, Estradiol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN HILBERT, WHNP accept Medicare?
KAREN HILBERT, WHNP appears in CMS Medicare data with 87 Part D claims and 31 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN HILBERT, WHNP's credentials?
KAREN HILBERT, WHNP's NPI is 1295823144 with credentials WHNP. 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