NPI registry status
Active
2026 NPPES data Clinical Nurse Specialist NPI 1538395991 APRN
Verify on CMS → Karla Neville, APRN
Clinical Nurse Specialist in Columbus, Nebraska.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,715 in Clinical Nurse Specialist, 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
129
Medicare Part D claims · 89 beneficiaries · Clinical Nurse Specialist avg: 953
MIPS score
66/100
▼ 17 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Karla Neville, APRN reported a CMS MIPS final score of 66/100 - below the 83.1 national average - and filed 129 Medicare Part D claims in 2023.
- 66/100
- MIPS score · -17 vs avg
- 129
- 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.
Karla Neville, APRN's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
66 7th percentile higher than 7% of 477,587 scored providers
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
Where Karla Neville, APRN sits
This provider among clinical nurse specialist peers
Across the 134 clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Karla Neville, APRN writes more Part D claims than 37% of them and scores higher on MIPS quality than 2% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one clinical nurse specialist peer from a representative sample of 60; the gold marker is Karla Neville, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Karla Neville, APRN?
Below national averagePrimary specialty
Clinical Nurse Specialist
Medicare Part D claims
129 86% vs specialty avg
MIPS final score
66/100 17.1 pts vs avg
Specialty distribution in Nebraska
How Clinical Nurse Specialist compares to other specialties among Nebraska providers
Medicare quality performance, MIPS
Karla Neville, APRN's 2023 MIPS final score plotted against the Clinical Nurse Specialist national average
- MIPS Final Score
- 66/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Clinical Nurse Specialist) - 66/100 vs national avg 83.1
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).
Karla Neville, APRN appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding APRN credentials at 4600 38TH ST, Columbus, NE, 68601, with a listed phone of (402) 562-3159. NPI 1538395991 was issued on 05/29/2009.
Medicare Part D records for calendar year 2023 show 129 prescription claims written by this provider, covering 89 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 16.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 66/100 for the 2023 performance year (Quality 96.5, Cost 73.7), compared with the national average of 83.1.
Clinical Nurse Specialist is a narrow specialty nationwide, with 1,715 enrolled providers across 49 states and an average of 953 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
Provider Details
| NPI | 1538395991 |
|---|---|
| Specialty | Clinical Nurse Specialist |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 05/29/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
66.0384
Final Score
Avg: 83.1
96.4654
Quality
73.6625
Cost
0
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Karla Neville, APRN 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.
Columbus Community Hospital Inc
Columbus, NE
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.
129
Total Claims
$2K
Total Drug Cost
89
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 129
- Total Day Supply
- 1,267
- Generic Drug Cost
- $1K
- Opioid Claims
- 21 (16.3% rate)
- Antibiotic Claims
- 55
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 1.92
- Gender Split
- 71% female / 29% 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 |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 14 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Clinical Nurse Specialist Overview
How Karla Neville, APRN fits within the Clinical Nurse Specialist landscape nationally.
1,715
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider
Karla Neville, APRN's 129 claims are below the specialty average of 953.
Nearby Clinical Nurse Specialist Providers in Nebraska
Other clinicians with the same primary specialty enrolled in Nebraska, drawn from the same CMS NPPES roster as Neville.
Dr. Susan Barnason
APRN-CNS
Lincoln, NE
Ann Calhoun
Grand Island, NE
Dr. Kyle Campbell
APRN
Omaha, NE
Dr. Shelley Hultman
APRN-CNS
Omaha, NE
Dr. Marlene Lindeman
CNS
Omaha, NE
Compare Clinical Nurse Specialist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Nebraska medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Clinical Nurse Specialist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Karla Neville, APRN's specialty? ▼
Karla Neville, APRN specializes in Clinical Nurse Specialist and practices in Columbus, Nebraska. Credentials: APRN.
How much does Karla Neville, APRN prescribe under Medicare Part D? ▼
In 2023, Karla Neville, APRN wrote 129 Medicare Part D claims totaling $2K in drug costs for 89 beneficiaries.
What is Karla Neville, APRN's Medicare quality score? ▼
Karla Neville, APRN has a CMS MIPS Final Score of 66/100 (Quality: 96.5, Cost: 73.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karla Neville, APRN located? ▼
Karla Neville, APRN is located at 4600 38TH ST, Columbus, NE, 68601. Phone: (402) 562-3159.
What is Karla Neville, APRN's NPI number? ▼
Karla Neville, APRN's National Provider Identifier (NPI) is 1538395991, issued on 05/29/2009.
Does Karla Neville, APRN prescribe opioids? ▼
Yes, Karla Neville, APRN had 21 opioid claims in 2023 with an opioid prescribing rate of 16.3%.
How many Clinical Nurse Specialist providers are there in the US? ▼
There are 1,715 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does Karla Neville, APRN prescribe most often? ▼
Based on 2023 Medicare Part D data, Karla Neville, APRN's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karla Neville, APRN accept Medicare? ▼
Karla Neville, APRN appears in CMS Medicare data with 129 Part D claims and 89 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karla Neville, APRN's credentials? ▼
Karla Neville, APRN's NPI is 1538395991 with credentials APRN. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.