2026 NPPES data Adult Health Nurse Practitioner NPI 1629210208 ANP-BC
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KAYLAN FENTON, ANP-BC

Adult Health Nurse Practitioner in MILWAUKEE, Wisconsin. 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
81
Medicare Part D claims · 43 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.4671/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$714.4
12 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KAYLAN FENTON, ANP-BC reported a CMS MIPS final score of 80.4671/100 — below the 83.1 national average — and filed 81 Medicare Part D claims in 2023.

80.4671/100
MIPS score · -3 vs avg
81
Part D claims, 2023
81%
generic prescribing
$714.4
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.

KAYLAN FENTON, ANP-BC's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

80 33rd percentile higher than 33% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about KAYLAN FENTON, ANP-BC?

Near national average

NPI registry status

Active

Issued 03/30/2009

NPI 1629210208

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

81 93% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

80.4671/100 2.6328999999999922% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

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

Wisconsin providers

Adult Health Nurse Practitioner share within Wisconsin

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

Medicare quality performance — MIPS

KAYLAN FENTON, ANP-BC's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

Near national average
MIPS Final Score
80.4671/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 80.4671/100 vs national avg 83.1

0%100%National avg83%80.5%
MIPS final score (Adult Health Nurse Practitioner) — 80.4671/100 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).

KAYLAN FENTON, ANP-BC appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding ANP-BC credentials at 9200 W WISCONSIN AVE, MILWAUKEE, WI, 53226, with a listed phone of (414) 805-8710. NPI 1629210208 was issued on 03/30/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FENTON 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 81 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $118K in drug spend, split 19% brand-name and 81% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.4671/100 for the 2023 performance year (Quality 66.2426, Cost 68.6477), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Provider Details

NPI 1629210208
Specialty Adult Health Nurse Practitioner
Credentials ANP-BC
Gender Female
NPI Issued 03/30/2009

CMS Quality Score (MIPS)

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

80.4671
Final Score
Avg: 83.1
66.2426
Quality
68.6477
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KAYLAN FENTON, ANP-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.

THE MEDICAL COLLEGE OF WISCONSIN INC
MILWAUKEE, WI

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 KAYLAN FENTON, ANP-BC. Source: openpaymentsdata.cms.gov.

Total received

$714

Largest payer

EMD Serono, 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 · Typical

KAYLAN FENTON, ANP-BC — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 81 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.

81
Total Claims
$118K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
150
Total Day Supply
4,404
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$105K
Generic Drug Cost
$12K

Patient Demographics

Average Patient Age
58.2 years
Avg HCC Risk Score
1.97
Gender Split
67% female / 33% male
Age Distribution
<65: 29, 65-74: 11, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
18
Baclofen
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Adult Health Nurse Practitioner Overview

How KAYLAN FENTON, ANP-BC fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

KAYLAN FENTON, ANP-BC's 81 claims are below the specialty average of 1,201.

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 FENTON.

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

Frequently Asked Questions

What is KAYLAN FENTON, ANP-BC's specialty?
KAYLAN FENTON, ANP-BC specializes in Adult Health Nurse Practitioner and practices in MILWAUKEE, Wisconsin. Credentials: ANP-BC.
How much does KAYLAN FENTON, ANP-BC prescribe under Medicare Part D?
In 2023, KAYLAN FENTON, ANP-BC wrote 81 Medicare Part D claims totaling $118K in drug costs for 43 beneficiaries.
What is KAYLAN FENTON, ANP-BC's Medicare quality score?
KAYLAN FENTON, ANP-BC has a CMS MIPS Final Score of 80.4671/100 (Quality: 66.2426, Cost: 68.6477). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAYLAN FENTON, ANP-BC located?
KAYLAN FENTON, ANP-BC is located at 9200 W WISCONSIN AVE, MILWAUKEE, WI, 53226. Phone: (414) 805-8710.
What is KAYLAN FENTON, ANP-BC's NPI number?
KAYLAN FENTON, ANP-BC's National Provider Identifier (NPI) is 1629210208, issued on 03/30/2009.
Does KAYLAN FENTON, ANP-BC prescribe more brand-name or generic drugs?
KAYLAN FENTON, ANP-BC's prescribing is 19% brand-name and 81% generic drugs by claim count, with $105K in brand drug costs.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does KAYLAN FENTON, ANP-BC prescribe most often?
Based on 2023 Medicare Part D data, KAYLAN FENTON, ANP-BC's most frequently prescribed drugs include Gabapentin, Baclofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAYLAN FENTON, ANP-BC accept Medicare?
KAYLAN FENTON, ANP-BC appears in CMS Medicare data with 81 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAYLAN FENTON, ANP-BC's credentials?
KAYLAN FENTON, ANP-BC's NPI is 1629210208 with credentials ANP-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.
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