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2026 NPPES data Adult Health Nurse Practitioner NPI 1629525613 NP
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Katherine Simons, NP

Adult Health Nurse Practitioner in Madison, Wisconsin.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,811 in Adult Health Nurse Practitioner, 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
28
Medicare Part D claims · 11 beneficiaries · Adult Health Nurse Practitioner avg: 1K
MIPS score
77.4/100
▼ 6 pts below national avg 83.5 · Above neutral
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Compiled from official public sources by the editorial process.

What the federal data shows

Katherine Simons, NP reported a CMS MIPS final score of 77.4/100 - below the 83.5 national average - and filed 28 Medicare Part D claims in 2024.

77.4/100
MIPS score · -6 vs avg
28
Part D claims, 2024
≥20th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Katherine Simons, NP

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1629525613), first enumerated 09/07/2016.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 28 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 77.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

Compare Simons with other Adult Health Nurse Practitioner providers

Same primary specialty, same federal CMS NPPES roster.

Also enrolled in Wisconsin

Other specialties in Madison: Pharmacist (858) · Student in an Organized Health Care Education/Training Program (719) · Registered Nurse (608) · Clinical Social Worker (527)

CMS NPPES provider registry desk

NPI 1629525613 · Adult Health Nurse Practitioner

NPI-10 · ENUM-MID · TAX-MID · MIPS-BELOW · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1629525613
  • ENUM-MID 2016
  • TAX-MID 30K Adult Health
  • MIPS-BELOW 77.4/100
  • RX-TRACE 28
  • BOOK-THIN 406 in Wisconsin
  • PHOTO-FINISH Emily Bertsch, MSN,… · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Katherine Simons, NP's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

77 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Katherine Simons, NP sits

This provider among adult health nurse practitioner peers

Across the 4,201 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Katherine Simons, NP writes more Part D claims than 6% of them and scores higher on MIPS quality than 20% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 3Katherine Simons, NP, Part D claim volume, percentile in specialty: 6 · MIPS quality, percentile: 20
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Katherine Simons, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Katherine Simons, NP?

Below national average

NPI registry status

Active

Issued 09/07/2016

NPI 1629525613

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,811 US NPIs in this specialty

Medicare Part D claims

28 98% vs specialty avg

2024 prescription claims

Specialty avg: 1,291

MIPS final score

77.4/100 6.1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Wisconsin

How Adult Health Nurse Practitioner compares to other specialties among Wisconsin providers

Wisconsin providers
Physical Therapist5.5%Registered Nurse4.7%Pharmacist4.6%Student in an Organized Heal…3.4%Professional Counselor3.3%Speech-Language Pathologist3.2%Adult Health Nurse Practitio…0.3%
Largest specialties in Wisconsin (% of in-state providers)

Medicare quality performance, MIPS

Katherine Simons, NP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

Below national average
MIPS Final Score
77.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%77.4%
MIPS final score (Adult Health Nurse Practitioner) - 77.4/100 vs national avg 83.5
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).

Practice Address

2222 S PARK ST STE 210
Madison, WI 53713
(844) 493-1052

Provider Details

NPI 1629525613
Specialty Adult Health Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 09/07/2016

CMS Quality Score (MIPS)

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

77.4384
Final Score
Measured-score avg: 83.5
81.8371
Quality
62.1241
Cost
77
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

28
Total Claims
$7K
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
48
Total Day Supply
1,438
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.24
Gender Split
0% female / 100% male
More Adult Health Nurse Practitioner in WI → All providers in Wisconsin → Compare specialties →

Adult Health Nurse Practitioner Overview

How Katherine Simons, NP fits within the Adult Health Nurse Practitioner landscape nationally.

29,811
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,291
Avg Claims per Provider

Katherine Simons, NP's 28 claims are below the specialty average of 1,291.

Nationwide Adult Health Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Simons, both outside Wisconsin so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (77.4 here).

Emily Bertsch 77.4 FL Jerrylee Saumell Rosales 77.4 FL Nancy Barraclough 77.4 NY Elizabeth Hutchins 77.4 NY

Same NPPES enumeration year (2016)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Valentina Chadwick Stanford, CA Melissa Vanneerden New Castle, DE Melissa Cobb Helena, MT Mark Coogan New Brunswick, NJ

Nearby Adult Health Nurse Practitioner Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Simons.

One of 406 Adult Health Nurse Practitioner providers enrolled in Wisconsin, 11 are shown on this page.

Carne Andrews
APNP
Eau Claire, WI
Deborah Andris
MSN N
Milwaukee, WI
Karen Armbrister
NP
Germantown, WI
Stephanie Armstrong
NP-C
Milwaukee, WI
Judith Bagley
N.P.
Racine, WI

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

Frequently Asked Questions

What is Katherine Simons, NP's specialty? ▼
Katherine Simons, NP specializes in Adult Health Nurse Practitioner and practices in Madison, Wisconsin. Credentials: NP.
How much does Katherine Simons, NP prescribe under Medicare Part D? ▼
In 2024, Katherine Simons, NP wrote 28 Medicare Part D claims totaling $7K in drug costs for 11 beneficiaries.
What is Katherine Simons, NP's Medicare quality score? ▼
Katherine Simons, NP has a CMS MIPS Final Score of 77.4/100 (Quality: 81.8, Cost: 62.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Katherine Simons, NP located? ▼
Katherine Simons, NP is located at 2222 S PARK ST STE 210, Madison, WI, 53713. Phone: (844) 493-1052.
What is Katherine Simons, NP's NPI number? ▼
Katherine Simons, NP's National Provider Identifier (NPI) is 1629525613, issued on 09/07/2016.
How many Adult Health Nurse Practitioner providers are there in the US? ▼
There are 29,811 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,291 Medicare Part D claims per year.
Does Katherine Simons, NP accept Medicare? ▼
Katherine Simons, NP appears in CMS Medicare data with 28 Part D claims and 11 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Katherine Simons, NP's credentials? ▼
Katherine Simons, NP's NPI is 1629525613 with credentials NP. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

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 August 2026.