2026 NPPES data Family Nurse Practitioner NPI 1508929266 APN
Verify on CMS →

KAREN JOYCE, APN

Family Nurse Practitioner in COOKEVILLE, Tennessee. 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
8K
Medicare Part D claims · 344 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$391.45
22 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KAREN JOYCE, APN filed 7,525 Medicare Part D claims in 2023 as a Family Nurse Practitioner in COOKEVILLE, Tennessee, prescribing 91% generic.

8K
Part D claims, 2023
91%
generic prescribing
$391.45
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.

KAREN JOYCE, APN's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

7,525 Top 3% higher than 97% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about KAREN JOYCE, APN?

Quality data not reported

NPI registry status

Active

Issued 12/17/2006

NPI 1508929266

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

7,525 516% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in Tennessee

How Family Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Family Nurse Practitioner share within Tennessee

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within Tennessee

Specialty board-certification context

Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

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 JOYCE, APN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APN credentials at 315 N WASHINGTON AVE, COOKEVILLE, TN, 38501, with a listed phone of (931) 528-5273. NPI 1508929266 was issued on 12/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JOYCE 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 7,525 prescription claims written by this provider, covering 344 Medicare beneficiaries and totaling roughly $543K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 3.4%. 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.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

315 N WASHINGTON AVE
COOKEVILLE, TN 38501

Provider Details

NPI 1508929266
Specialty Family Nurse Practitioner
Credentials APN
Gender Female
NPI Issued 12/17/2006

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 KAREN JOYCE, APN. Source: openpaymentsdata.cms.gov.

Total received

$391

Largest payer

Novo Nordisk Inc

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 · Generic-heavy

KAREN JOYCE, APN — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 7,525 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.

7,525
Total Claims
$543K
Total Drug Cost
344
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,818
Total Day Supply
487,752
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$413K
Generic Drug Cost
$127K
Opioid Claims
253 (3.4% rate)
Antibiotic Claims
292

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.07
Gender Split
67% female / 33% male
Age Distribution
<65: 48, 65-74: 159, 75-84: 108, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

What KAREN JOYCE, APN 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
Atorvastatin Calcium
431
Levothyroxine Sodium
302
Losartan Potassium
246
Metoprolol Tartrate
220
Lisinopril
209
Rosuvastatin Calcium
188
Gabapentin
178
Omeprazole
157
Hydrochlorothiazide
154
Amlodipine Besylate
148

* 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 KAREN JOYCE, APN fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

KAREN JOYCE, APN's 7,525 claims are above the specialty average of 1,222.

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 JOYCE.

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

Frequently Asked Questions

What is KAREN JOYCE, APN's specialty?
KAREN JOYCE, APN specializes in Family Nurse Practitioner and practices in COOKEVILLE, Tennessee. Credentials: APN.
How much does KAREN JOYCE, APN prescribe under Medicare Part D?
In 2023, KAREN JOYCE, APN wrote 7,525 Medicare Part D claims totaling $543K in drug costs for 344 beneficiaries.
Where is KAREN JOYCE, APN located?
KAREN JOYCE, APN is located at 315 N WASHINGTON AVE, COOKEVILLE, TN, 38501. Phone: (931) 528-5273.
What is KAREN JOYCE, APN's NPI number?
KAREN JOYCE, APN's National Provider Identifier (NPI) is 1508929266, issued on 12/17/2006.
Does KAREN JOYCE, APN prescribe more brand-name or generic drugs?
KAREN JOYCE, APN's prescribing is 9% brand-name and 91% generic drugs by claim count, with $413K in brand drug costs.
Does KAREN JOYCE, APN prescribe opioids?
Yes, KAREN JOYCE, APN had 253 opioid claims in 2023 with an opioid prescribing rate of 3.4%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does KAREN JOYCE, APN prescribe most often?
Based on 2023 Medicare Part D data, KAREN JOYCE, APN's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN JOYCE, APN accept Medicare?
KAREN JOYCE, APN appears in CMS Medicare data with 7,525 Part D claims and 344 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN JOYCE, APN's credentials?
KAREN JOYCE, APN's NPI is 1508929266 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.
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