2026 NPPES data Family Nurse Practitioner NPI 1699224873 APN
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KELLY WEST, APN

Family Nurse Practitioner in DECATUR, Illinois. 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
8K
Medicare Part D claims · 744 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

KELLY WEST, APN reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 8,351 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
8K
Part D claims, 2023
91%
generic prescribing

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.

KELLY WEST, APN's MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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 KELLY WEST, APN?

Below national average

NPI registry status

Active

Issued 09/28/2016

NPI 1699224873

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

8,351 583% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Family Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Family Nurse Practitioner share within Illinois

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

Medicare quality performance — MIPS

KELLY WEST, APN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Family Nurse Practitioner) — 75/100 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).

KELLY WEST, APN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APN credentials at 250 W KENWOOD AVE, DECATUR, IL, 62526, with a listed phone of (217) 528-7541. NPI 1699224873 was issued on 09/28/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WEST 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 8,351 prescription claims written by this provider, covering 744 Medicare beneficiaries and totaling roughly $392K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 2.9%. 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 75/100 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

250 W KENWOOD AVE
DECATUR, IL 62526

Provider Details

NPI 1699224873
Specialty Family Nurse Practitioner
Credentials APN
Gender Female
NPI Issued 09/28/2016

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KELLY WEST, APN 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.

SPRINGFIELD CLINIC, LLP
DECATUR, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to KELLY WEST, APN. To verify KELLY WEST, APN's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

KELLY WEST, APN — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 8,351 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.

8,351
Total Claims
$392K
Total Drug Cost
744
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
18,871
Total Day Supply
544,904
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$257K
Generic Drug Cost
$133K
Opioid Claims
243 (2.9% rate)
Antibiotic Claims
210

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
0.95
Gender Split
57% female / 43% male
Age Distribution
<65: 27, 65-74: 417, 75-84: 238, 85+: 62

Top Prescribed Drugs (Medicare Part D)

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

What KELLY WEST, APN 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
Atorvastatin Calcium
469
Lisinopril
398
Levothyroxine Sodium
388
Metformin Hcl
291
Amlodipine Besylate
287
Montelukast Sodium
246
Losartan Potassium
230
Hydrochlorothiazide
217
Sertraline Hcl
193
Metoprolol Succinate
192

* 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 KELLY WEST, APN 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

KELLY WEST, APN's 8,351 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Illinois

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

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is KELLY WEST, APN's specialty?
KELLY WEST, APN specializes in Family Nurse Practitioner and practices in DECATUR, Illinois. Credentials: APN.
How much does KELLY WEST, APN prescribe under Medicare Part D?
In 2023, KELLY WEST, APN wrote 8,351 Medicare Part D claims totaling $392K in drug costs for 744 beneficiaries.
What is KELLY WEST, APN's Medicare quality score?
KELLY WEST, APN has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KELLY WEST, APN located?
KELLY WEST, APN is located at 250 W KENWOOD AVE, DECATUR, IL, 62526. Phone: (217) 528-7541.
What is KELLY WEST, APN's NPI number?
KELLY WEST, APN's National Provider Identifier (NPI) is 1699224873, issued on 09/28/2016.
Does KELLY WEST, APN prescribe more brand-name or generic drugs?
KELLY WEST, APN's prescribing is 9% brand-name and 91% generic drugs by claim count, with $257K in brand drug costs.
Does KELLY WEST, APN prescribe opioids?
Yes, KELLY WEST, APN had 243 opioid claims in 2023 with an opioid prescribing rate of 2.9%.
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 KELLY WEST, APN prescribe most often?
Based on 2023 Medicare Part D data, KELLY WEST, APN's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KELLY WEST, APN accept Medicare?
KELLY WEST, APN appears in CMS Medicare data with 8,351 Part D claims and 744 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KELLY WEST, APN's credentials?
KELLY WEST, APN's NPI is 1699224873 with credentials APN. 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