2026 NPPES data Nurse Practitioner NPI 1689227308 FNP-BC
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KARLA DOWNEY, FNP-BC

Nurse Practitioner in HUNTINGTON, West Virginia. 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.
MIPS score
90.1191/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$155.68
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KARLA DOWNEY, FNP-BC is a Nurse Practitioner ([object Object]) practicing in HUNTINGTON, West Virginia . Their CMS MIPS Final Score of 90.1191/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $155.68 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KARLA DOWNEY, FNP-BC reported a CMS MIPS final score of 90.1191 out of 100, above the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KARLA DOWNEY, FNP-BC at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/22/2019

NPI 1689227308

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

MIPS final score

90.1191/100 7.019100000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Nurse Practitioner compares to other specialties among West Virginia providers

West Virginia providers

Nurse Practitioner share within West Virginia

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

Medicare quality performance — MIPS

KARLA DOWNEY, FNP-BC's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
90.1191/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 90.1191/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Nurse Practitioner) — 90.1191/100 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).

KARLA DOWNEY, FNP-BC is a Nurse Practitioner provider practicing in HUNTINGTON, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: FNP-BC. NPI: 1689227308. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KARLA DOWNEY, FNP-BC appears in the CMS NPPES registry as a Nurse Practitioner provider holding FNP-BC credentials at 1249 15TH ST STE 4000, HUNTINGTON, WV, 25701, with a listed phone of (304) 691-8500. NPI 1689227308 was issued on 07/22/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOWNEY 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Nurse Practitioner providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.1191/100 for the 2023 performance year (Quality 66.9698), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

1249 15TH ST STE 4000
HUNTINGTON, WV 25701

Provider Details

NPI 1689227308
Specialty Nurse Practitioner
Credentials FNP-BC
Gender Female
NPI Issued 07/22/2019

CMS Quality Score (MIPS)

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

90.1191
Final Score
Avg: 83.1
66.9698
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KARLA DOWNEY, FNP-BC 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.

CHARLESTON AREA MEDICAL CENTER INC
CHARLESTON, WV

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

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 KARLA DOWNEY, FNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$156

Largest payer

Curonix 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.

Nurse Practitioner Overview

How KARLA DOWNEY, FNP-BC fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

Nearby Nurse Practitioner Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as DOWNEY.

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

Frequently Asked Questions

What is KARLA DOWNEY, FNP-BC's specialty?
KARLA DOWNEY, FNP-BC specializes in Nurse Practitioner and practices in HUNTINGTON, West Virginia. Credentials: FNP-BC.
What is KARLA DOWNEY, FNP-BC's Medicare quality score?
KARLA DOWNEY, FNP-BC has a CMS MIPS Final Score of 90.1191/100 (Quality: 66.9698). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KARLA DOWNEY, FNP-BC located?
KARLA DOWNEY, FNP-BC is located at 1249 15TH ST STE 4000, HUNTINGTON, WV, 25701. Phone: (304) 691-8500.
What is KARLA DOWNEY, FNP-BC's NPI number?
KARLA DOWNEY, FNP-BC's National Provider Identifier (NPI) is 1689227308, issued on 07/22/2019.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
Does KARLA DOWNEY, FNP-BC accept Medicare?
KARLA DOWNEY, FNP-BC appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARLA DOWNEY, FNP-BC's credentials?
KARLA DOWNEY, FNP-BC's NPI is 1689227308 with credentials FNP-BC. 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.
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