2026 NPPES data Adult Health Nurse Practitioner NPI 1811390180
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KELYN O'BRIEN

Adult Health Nurse Practitioner in OSHKOSH, 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
1K
Medicare Part D claims · 192 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
29%
generic claims · 71% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.7756/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$249.18
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KELYN O'BRIEN reported a CMS MIPS final score of 77.7756/100 — below the 83.1 national average — and filed 1,400 Medicare Part D claims in 2023.

77.7756/100
MIPS score · -5 vs avg
1K
Part D claims, 2023
29%
generic prescribing
$249.18
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.

KELYN O'BRIEN's MIPS score vs every scored U.S. clinician

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

78 24th percentile higher than 24% 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 KELYN O'BRIEN?

Below national average

NPI registry status

Active

Issued 10/01/2014

NPI 1811390180

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

1,400 17% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

77.7756/100 5.324399999999997% 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

KELYN O'BRIEN's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

Below national average
MIPS Final Score
77.7756/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 77.7756/100 vs national avg 83.1

0%100%National avg83%77.8%
MIPS final score (Adult Health Nurse Practitioner) — 77.7756/100 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).

KELYN O'BRIEN appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider at 2700 W 9TH AVE, OSHKOSH, WI, 54904, with a listed phone of (920) 223-2650. NPI 1811390180 was issued on 10/01/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what O'BRIEN 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 1,400 prescription claims written by this provider, covering 192 Medicare beneficiaries and totaling roughly $558K in drug spend, split 71% brand-name and 29% 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 77.7756/100 for the 2023 performance year (Quality 77.471, Cost 63.8013), 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

2700 W 9TH AVE
OSHKOSH, WI 54904

Provider Details

NPI 1811390180
Specialty Adult Health Nurse Practitioner
Gender Female
NPI Issued 10/01/2014

CMS Quality Score (MIPS)

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

77.7756
Final Score
Avg: 83.1
77.471
Quality
63.8013
Cost
77
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KELYN O'BRIEN 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.

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC
APPLETON, 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 KELYN O'BRIEN. Source: openpaymentsdata.cms.gov.

Total received

$249

Largest payer

Inspire Medical Systems, 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

KELYN O'BRIEN — brand share 71.0%
Specialty average (est.)

71% brand-name claims vs 29% generic, on 1,400 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.

1,400
Total Claims
$558K
Total Drug Cost
192
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,053
Total Day Supply
56,527
Brand vs Generic
71% brand / 29% generic
Brand Drug Cost
$499K
Generic Drug Cost
$59K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
1.75
Gender Split
55% female / 45% male
Age Distribution
<65: 44, 65-74: 92, 75-84: 42, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

What KELYN O'BRIEN 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
Albuterol Sulfate Hfa
Albuterol Sulfate
338
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
149
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
119
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
102
Montelukast Sodium
97
Incruse Ellipta
Umeclidinium Bromide
60
Prednisone
56
Spiriva Respimat
Tiotropium Bromide
56
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
55
Breo Ellipta
Fluticasone/Vilanterol
39

* 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 KELYN O'BRIEN 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

KELYN O'BRIEN's 1,400 claims are above 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 O'BRIEN.

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

Frequently Asked Questions

What is KELYN O'BRIEN's specialty?
KELYN O'BRIEN specializes in Adult Health Nurse Practitioner and practices in OSHKOSH, Wisconsin.
How much does KELYN O'BRIEN prescribe under Medicare Part D?
In 2023, KELYN O'BRIEN wrote 1,400 Medicare Part D claims totaling $558K in drug costs for 192 beneficiaries.
What is KELYN O'BRIEN's Medicare quality score?
KELYN O'BRIEN has a CMS MIPS Final Score of 77.7756/100 (Quality: 77.471, Cost: 63.8013). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KELYN O'BRIEN located?
KELYN O'BRIEN is located at 2700 W 9TH AVE, OSHKOSH, WI, 54904. Phone: (920) 223-2650.
What is KELYN O'BRIEN's NPI number?
KELYN O'BRIEN's National Provider Identifier (NPI) is 1811390180, issued on 10/01/2014.
Does KELYN O'BRIEN prescribe more brand-name or generic drugs?
KELYN O'BRIEN's prescribing is 71% brand-name and 29% generic drugs by claim count, with $499K 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 KELYN O'BRIEN prescribe most often?
Based on 2023 Medicare Part D data, KELYN O'BRIEN's most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Anoro Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KELYN O'BRIEN accept Medicare?
KELYN O'BRIEN appears in CMS Medicare data with 1,400 Part D claims and 192 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KELYN O'BRIEN's credentials?
KELYN O'BRIEN's NPI is 1811390180. 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