Kelly Schmalstich, ACNP-AG
Acute Care Clinical Nurse Specialist in Greeley, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 508 in Acute Care 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Kelly Schmalstich, ACNP-AG reported a CMS MIPS final score of 97.6/100 - above the 83.5 national average - and filed 491 Medicare Part D claims in 2023.
- 97.6/100
- MIPS score · +14 vs avg
- 491
- Part D claims, 2023
- 45%
- generic prescribing
- $211.78
- 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.
Federal trust snapshot
What official records show about Kelly Schmalstich, ACNP-AG
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 1356950299), first enumerated 07/27/2020.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 491 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 97.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$211.78 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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.
CMS NPPES provider registry desk
NPI 1356950299 · Acute Care Clinical Nurse Specialist
NPI-10 · ENUM-RECENT · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1356950299
- ENUM-RECENT 2020
- TAX-NARROW 508
- MIPS-ELITE 97.6/100
- RX-LIGHT 491
- BOOK-THIN 18 in Colorado
- PHOTO-FINISH Kimberly Byler · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Schmalstich · th…
Schmalstich · this provider
97.6 MIPS pts
- Georgianne Tokar…
Georgianne Tokarchik
97.6 MIPS pts
- Kimberly Byler ·…
Kimberly Byler
97.6 MIPS pts
- Brittany Farmer …
Brittany Farmer
97.6 MIPS pts
- Kelsey Hernandez…
Kelsey Hernandez
97.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Kelly Schmalstich, ACNP-AG'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.
98 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands
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 Kelly Schmalstich, ACNP-AG sits
This provider among acute care clinical nurse specialist peers
Across the 42 acute care clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Kelly Schmalstich, ACNP-AG writes more Part D claims than 64% of them and scores higher on MIPS quality than 74% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one acute care clinical nurse specialist peer from a representative sample of 41; the gold marker is Kelly Schmalstich, ACNP-AG. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Kelly Schmalstich, ACNP-AG?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Colorado
How Acute Care Clinical Nurse Specialist compares to other specialties among Colorado providers
Acute Care Clinical Nurse Specialist ranks #268 among Colorado's specialties (0% of in-state providers)
Each bar is a specialty's share of the Colorado provider total, by primary NUCC taxonomy. The highlighted bar is Acute Care Clinical Nurse Specialist; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Kelly Schmalstich, ACNP-AG's 2023 MIPS final score plotted against the Acute Care Clinical Nurse Specialist national average
- MIPS Final Score
- 97.6/100
- vs 83.5 national avg · 2023 performance year
Quality benchmarks
- National MIPS avg 2023 measured reporting year
- Quality dim CMS Quality category
- Specialty volume Acute Care Clinical Nurse Specialist US NPIs
97.6/100 MIPS final score - 14.1 pts above the 83.5 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Acute Care Clinical Nurse Specialist. Quality dim: 86.5.
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
Provider Details
| NPI | 1356950299 |
|---|---|
| Specialty | Acute Care Clinical Nurse Specialist |
| Credentials | ACNP-AG |
| Gender | Female |
| NPI Issued | 07/27/2020 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Kelly Schmalstich, ACNP-AG's current license status, disciplinary history, and board certifications with the Colorado Medical Board in Colorado before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1356950299 is the unique 10-digit identifier CMS uses to link Schmalstich across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Kelly Schmalstich, ACNP-AG 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.
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 Kelly Schmalstich, ACNP-AG. Source: openpaymentsdata.cms.gov.
Total received
$212
Largest payer
Inari Medical, 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 · Brand-heavy
55% brand-name claims vs 45% generic, on 491 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.
Prescribing Breakdown
- 30-Day Fills
- 794
- Total Day Supply
- 21,864
- Brand vs Generic
- 55% brand / 45% generic
- Brand Drug Cost
- $207K
- Generic Drug Cost
- $14K
- Antibiotic Claims
- 49
Patient Demographics
- Average Patient Age
- 71.0 years
- Avg HCC Risk Score
- 2.14
- Gender Split
- 65% female / 35% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kelly Schmalstich, ACNP-AG prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
49 claims
- Spiriva Respimat
Spiriva Respimat
42 claims
- Montelukast Sodium
Montelukast Sodium
38 claims
- Trelegy Ellipta
Trelegy Ellipta
32 claims
- Azithromycin
Azithromycin
27 claims
- Ventolin Hfa
Ventolin Hfa
26 claims
- Prednisone
Prednisone
22 claims
- Fluticasone Propio…
Fluticasone Propionate
21 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 49 |
| Spiriva Respimat Tiotropium Bromide | 42 |
| Montelukast Sodium | 38 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 32 |
| Azithromycin | 27 |
| Ventolin Hfa Albuterol Sulfate | 26 |
| Prednisone | 22 |
| Fluticasone Propionate | 21 |
| Fluticasone-Salmeterol Fluticasone Propion/Salmeterol | 19 |
| Breo Ellipta Fluticasone/Vilanterol | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Acute Care Clinical Nurse Specialist Overview
How Kelly Schmalstich, ACNP-AG fits within the Acute Care Clinical Nurse Specialist landscape nationally.
Kelly Schmalstich, ACNP-AG's 491 claims are below the specialty average of 773.
Nationwide Acute Care Clinical Nurse Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Schmalstich, both outside Colorado so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.6 here).
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Acute Care Clinical Nurse Specialist Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Schmalstich.
One of 18 Acute Care Clinical Nurse Specialist providers enrolled in Colorado, 5 are shown here.
Compare Acute Care Clinical Nurse Specialist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Kelly Schmalstich, ACNP-AG's specialty? ▼
How much does Kelly Schmalstich, ACNP-AG prescribe under Medicare Part D? ▼
What is Kelly Schmalstich, ACNP-AG's Medicare quality score? ▼
Where is Kelly Schmalstich, ACNP-AG located? ▼
What is Kelly Schmalstich, ACNP-AG's NPI number? ▼
Does Kelly Schmalstich, ACNP-AG prescribe more brand-name or generic drugs? ▼
How many Acute Care Clinical Nurse Specialist providers are there in the US? ▼
What drugs does Kelly Schmalstich, ACNP-AG prescribe most often? ▼
Does Kelly Schmalstich, ACNP-AG accept Medicare? ▼
How can I verify Kelly Schmalstich, ACNP-AG's credentials? ▼
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
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.
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