NPI registry status
Active
2026 NPPES data Advanced Practice Midwife NPI 1356957682 APRN-CNM
Verify on CMS → Karlin Silvers, APRN-CNM
Advanced Practice Midwife in Joplin, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,937 in Advanced Practice Midwife, 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
46
Medicare Part D claims · 17 beneficiaries · Advanced Practice Midwife avg: 99
MIPS score
64.7/100
▼ 18 pts below national avg 83.1 · Mid-tier
Industry payments
$12.92
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Karlin Silvers, APRN-CNM reported a CMS MIPS final score of 64.7/100 - below the 83.1 national average - and filed 46 Medicare Part D claims in 2023.
- 64.7/100
- MIPS score · -18 vs avg
- 46
- Part D claims, 2023
- $12.92
- 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.
Karlin Silvers, APRN-CNM's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
65 6th percentile higher than 6% 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 Karlin Silvers, APRN-CNM sits
This provider among advanced practice midwife peers
Across the 572 advanced practice midwife providers who report both Medicare Part D prescribing and a MIPS quality score, Karlin Silvers, APRN-CNM writes more Part D claims than 64% of them and scores higher on MIPS quality than 2% - placing this provider in the high-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 advanced practice midwife peer from a representative sample of 60; the gold marker is Karlin Silvers, APRN-CNM. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Karlin Silvers, APRN-CNM?
Below national averagePrimary specialty
Advanced Practice Midwife
Medicare Part D claims
46 54% vs specialty avg
MIPS final score
64.7/100 18.4 pts vs avg
Specialty distribution in Missouri
How Advanced Practice Midwife compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Karlin Silvers, APRN-CNM's 2023 MIPS final score plotted against the Advanced Practice Midwife national average
- MIPS Final Score
- 64.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Advanced Practice Midwife) - 64.7/100 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).
Karlin Silvers, APRN-CNM appears in the CMS NPPES registry as an Advanced Practice Midwife provider holding APRN-CNM credentials at 1532 W 32ND ST STE 401, Joplin, MO, 64804, with a listed phone of (417) 347-7009. NPI 1356957682 was issued on 09/22/2020.
Medicare Part D records for calendar year 2023 show 46 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $1K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 64.7/100 for the 2023 performance year (Quality 58.6, Cost 58.5), compared with the national average of 83.1.
Advanced Practice Midwife is a mid-sized specialty nationwide, with 10,937 enrolled providers across 55 states and an average of 99 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 | 1356957682 |
|---|---|
| Specialty | Advanced Practice Midwife |
| Credentials | APRN-CNM |
| Gender | Female |
| NPI Issued | 09/22/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
64.7437
Final Score
Avg: 83.1
58.555
Quality
58.4614
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Karlin Silvers, APRN-CNM 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.
Freeman Neosho Hospital
★★★★☆ 4/5
Neosho, MO
Critical Access Hospitals
CMS CCN: 261331
Freeman-Oak Hill Health System
Joplin, MO
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 Karlin Silvers, APRN-CNM. Source: openpaymentsdata.cms.gov.
Total received
$13
Largest payer
Organon 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
46
Total Claims
$1K
Total Drug Cost
17
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 81
- Total Day Supply
- 2,032
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 68.5 years
- Avg HCC Risk Score
- 0.80
- Gender Split
- 100% female / 0% male
Advanced Practice Midwife Overview
How Karlin Silvers, APRN-CNM fits within the Advanced Practice Midwife landscape nationally.
10,937
Advanced Practice Midwife Providers in US
55
States with Advanced Practice Midwife
99
Avg Claims per Provider
Karlin Silvers, APRN-CNM's 46 claims are below the specialty average of 99.
Nearby Advanced Practice Midwife Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Silvers.
Dr. Jessica Altman
APRN-CNM
Saint Louis, MO
Dr. Paige Alvarado
CNM
Rolla, MO
Dr. Lori Anderson
A.P.R.N.
Columbia, MO
Dr. Tracey Arwood
MSN, CNM, PMHNP-BC
Kansas City, MO
Dr. Cynthia Bechtel
RN, CNM
Saint Louis, MO
Compare Advanced Practice Midwife 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 Missouri medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Advanced Practice Midwife 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 Karlin Silvers, APRN-CNM's specialty? ▼
Karlin Silvers, APRN-CNM specializes in Advanced Practice Midwife and practices in Joplin, Missouri. Credentials: APRN-CNM.
How much does Karlin Silvers, APRN-CNM prescribe under Medicare Part D? ▼
In 2023, Karlin Silvers, APRN-CNM wrote 46 Medicare Part D claims totaling $1K in drug costs for 17 beneficiaries.
What is Karlin Silvers, APRN-CNM's Medicare quality score? ▼
Karlin Silvers, APRN-CNM has a CMS MIPS Final Score of 64.7/100 (Quality: 58.6, Cost: 58.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karlin Silvers, APRN-CNM located? ▼
Karlin Silvers, APRN-CNM is located at 1532 W 32ND ST STE 401, Joplin, MO, 64804. Phone: (417) 347-7009.
What is Karlin Silvers, APRN-CNM's NPI number? ▼
Karlin Silvers, APRN-CNM's National Provider Identifier (NPI) is 1356957682, issued on 09/22/2020.
How many Advanced Practice Midwife providers are there in the US? ▼
There are 10,937 Advanced Practice Midwife providers across 55 states in the US. The average Advanced Practice Midwife provider writes 99 Medicare Part D claims per year.
Does Karlin Silvers, APRN-CNM accept Medicare? ▼
Karlin Silvers, APRN-CNM appears in CMS Medicare data with 46 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karlin Silvers, APRN-CNM's credentials? ▼
Karlin Silvers, APRN-CNM's NPI is 1356957682 with credentials APRN-CNM. 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.
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 May 2026.