2026 NPPES data Family Nurse Practitioner NPI 1811483407 NP
Verify on CMS →

Kelli Fletcher, NP

Family Nurse Practitioner in Grapevine, Texas. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 209,817 in Family 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
2K
Medicare Part D claims · 574 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$783.98
33 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Kelli Fletcher, NP reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 1,729 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
2K
Part D claims, 2023
84%
generic prescribing
$783.98
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.

Kelli Fletcher, NP's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Where Kelli Fletcher, NP sits

This provider among family nurse practitioner peers

Across the 27,154 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Kelli Fletcher, NP writes more Part D claims than 78% of them and scores higher on MIPS quality than 92% — placing this provider in the high-volume, high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 42Kelli Fletcher, NP — Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 92
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Kelli Fletcher, NP?

High performer (top quartile)

NPI registry status

Active

Issued 07/06/2018

NPI 1811483407

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

1,729 41% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

100/100 16.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Family Nurse Practitioner compares to other specialties among Texas providers

Texas providers

Largest specialties in Texas (% of in-state providers)

Behavior Technician — 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program — 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner — 4.5%Family Nurse Practitioner4.5%Professional Counselor — 4.4%Professional Counselor4.4%Pharmacist — 4.4%Pharmacist4.4%Speech-Language Pathologist — 3.9%Speech-Language Pathologist3.9%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance — MIPS

Kelli Fletcher, NP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

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

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

0%100%National avg83%99%
MIPS final score (Family Nurse Practitioner) — 100/100 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).

Kelli Fletcher, NP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding NP credentials at 1600 W COLLEGE ST STE 140, Grapevine, TX, 76051, with a listed phone of (214) 692-8262. NPI 1811483407 was issued on 07/06/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Fletcher 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 1,729 prescription claims written by this provider, covering 574 Medicare beneficiaries and totaling roughly $240K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 1.4%. 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

1600 W COLLEGE ST STE 140
Grapevine, TX 76051

Provider Details

NPI 1811483407
Specialty Family Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 07/06/2018

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Kelli Fletcher, NP 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.

Urology Clinics OF North Texas, PLLC
Grapevine, TX

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 Kelli Fletcher, NP. Source: openpaymentsdata.cms.gov.

Total received

$784

Largest payer

Ferring Pharmaceuticals 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.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to Kelli Fletcher, NP. To verify Kelli Fletcher, NP's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Kelli Fletcher, NP — brand share 16.0%
Family Nurse Practitioner average

16% brand-name claims vs 84% generic, on 1,729 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.

1,729
Total Claims
$240K
Total Drug Cost
574
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,355
Total Day Supply
92,533
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$193K
Generic Drug Cost
$47K
Opioid Claims
24 (1.4% rate)
Antibiotic Claims
427

Patient Demographics

Average Patient Age
75.7 years
Avg HCC Risk Score
1.36
Gender Split
34% female / 66% male
Age Distribution
<65: 17, 65-74: 244, 75-84: 242, 85+: 71

Top Prescribed Drugs (Medicare Part D)

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

What Kelli Fletcher, NP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Tamsulosin Hcl
478
Myrbetriq
Mirabegron
129
Ciprofloxacin Hcl
96
Nitrofurantoin
Nitrofurantoin Macrocrystal
79
Dutasteride
72
Testosterone Cypionate
66
Gemtesa
Vibegron
63
Oxybutynin Chloride Er
Oxybutynin Chloride
60
Estradiol
57
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
57

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

Family Nurse Practitioner Overview

How Kelli Fletcher, NP fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Kelli Fletcher, NP's 1,729 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Texas

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

Compare Family Nurse Practitioner 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 Texas medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Nurse Practitioner 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.

Frequently Asked Questions

What is Kelli Fletcher, NP's specialty?
Kelli Fletcher, NP specializes in Family Nurse Practitioner and practices in Grapevine, Texas. Credentials: NP.
How much does Kelli Fletcher, NP prescribe under Medicare Part D?
In 2023, Kelli Fletcher, NP wrote 1,729 Medicare Part D claims totaling $240K in drug costs for 574 beneficiaries.
What is Kelli Fletcher, NP's Medicare quality score?
Kelli Fletcher, NP has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kelli Fletcher, NP located?
Kelli Fletcher, NP is located at 1600 W COLLEGE ST STE 140, Grapevine, TX, 76051. Phone: (214) 692-8262.
What is Kelli Fletcher, NP's NPI number?
Kelli Fletcher, NP's National Provider Identifier (NPI) is 1811483407, issued on 07/06/2018.
Does Kelli Fletcher, NP prescribe more brand-name or generic drugs?
Kelli Fletcher, NP's prescribing is 16% brand-name and 84% generic drugs by claim count, with $193K in brand drug costs.
Does Kelli Fletcher, NP prescribe opioids?
Yes, Kelli Fletcher, NP had 24 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Kelli Fletcher, NP prescribe most often?
Based on 2023 Medicare Part D data, Kelli Fletcher, NP's most frequently prescribed drugs include Tamsulosin Hcl, Myrbetriq, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kelli Fletcher, NP accept Medicare?
Kelli Fletcher, NP appears in CMS Medicare data with 1,729 Part D claims and 574 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kelli Fletcher, NP's credentials?
Kelli Fletcher, NP's NPI is 1811483407 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

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.