2026 NPPES data Clinical Nurse Specialist NPI 1427019538 CNS
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KERSTIN LAPPEN, CNS

Clinical Nurse Specialist in MINNEAPOLIS, Minnesota. 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
569
Medicare Part D claims · 72 beneficiaries · Clinical Nurse Specialist avg: 953
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.5331/100
▲ 0 pts above national avg 83.1 · [object Object]
What the federal data reveals: KERSTIN LAPPEN, CNS is a Clinical Nurse Specialist ([object Object]) practicing in MINNEAPOLIS, Minnesota with a Medicare Part D prescribing footprint of 569 claims across 72 beneficiaries — 9% brand-name prescribing . Their CMS MIPS Final Score of 83.5331/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KERSTIN LAPPEN, CNS reported a CMS MIPS final score of 83.5331 out of 100, above the 83.1 national average, and filed 569 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KERSTIN LAPPEN, CNS at a glance

Near national average

NPI registry status

Active

Issued 03/29/2006

NPI 1427019538

Primary specialty

Clinical Nurse Specialist

Niche

1,708 US NPIs in this specialty

Medicare Part D claims

569 40% vs specialty avg

2023 prescription claims

Specialty avg: 953

MIPS final score

83.5331/100 0.43310000000001025% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Clinical Nurse Specialist compares to other specialties among Minnesota providers

Minnesota providers

Clinical Nurse Specialist share within Minnesota

1. Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Nurse Specialist share within Minnesota

Medicare quality performance — MIPS

KERSTIN LAPPEN, CNS's 2023 MIPS final score plotted against the Clinical Nurse Specialist national average

Near national average
MIPS Final Score
83.5331/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Nurse Specialist) — 83.5331/100 vs national avg 83.1

0%100%National avg83%83.5%
MIPS final score (Clinical Nurse Specialist) — 83.5331/100 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).

KERSTIN LAPPEN, CNS is a Clinical Nurse Specialist provider practicing in MINNEAPOLIS, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: CNS. NPI: 1427019538. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KERSTIN LAPPEN, CNS appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding CNS credentials at 910 E 26TH ST, MINNEAPOLIS, MN, 55404, with a listed phone of (612) 884-6300. NPI 1427019538 was issued on 03/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LAPPEN 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 569 prescription claims written by this provider, covering 72 Medicare beneficiaries and totaling roughly $30K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 39.9%. 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 83.5331/100 for the 2023 performance year (Quality 81.7967, Cost 63.3136), compared with the national average of 83.1.

Clinical Nurse Specialist is a narrow specialty nationwide, with 1,708 enrolled providers across 49 states and an average of 953 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

910 E 26TH ST
MINNEAPOLIS, MN 55404

Provider Details

NPI 1427019538
Specialty Clinical Nurse Specialist
Credentials CNS
Gender Female
NPI Issued 03/29/2006

CMS Quality Score (MIPS)

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

83.5331
Final Score
Avg: 83.1
81.7967
Quality
63.3136
Cost
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Generic-heavy

KERSTIN LAPPEN, CNS — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 569 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.

569
Total Claims
$30K
Total Drug Cost
72
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
627
Total Day Supply
15,689
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$13K
Generic Drug Cost
$17K
Opioid Claims
227 (39.9% rate)

Patient Demographics

Average Patient Age
67.4 years
Avg HCC Risk Score
3.32
Gender Split
57% female / 43% male
Age Distribution
<65: 19, 65-74: 42, 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
Oxycodone Hcl
76
Hydromorphone Hcl
38
Morphine Sulfate Er
Morphine Sulfate
34
Gabapentin
33
Methylphenidate Hcl
31
Mirtazapine
25
Methadone Hcl
24
Alprazolam
20
Pregabalin
20
Lorazepam
19

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

Clinical Nurse Specialist Overview

How KERSTIN LAPPEN, CNS fits within the Clinical Nurse Specialist landscape nationally.

1,708
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider

KERSTIN LAPPEN, CNS's 569 claims are below the specialty average of 953.

Nearby Clinical Nurse Specialist Providers in Minnesota

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

Compare Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KERSTIN LAPPEN, CNS's specialty?
KERSTIN LAPPEN, CNS specializes in Clinical Nurse Specialist and practices in MINNEAPOLIS, Minnesota. Credentials: CNS.
How much does KERSTIN LAPPEN, CNS prescribe under Medicare Part D?
In 2023, KERSTIN LAPPEN, CNS wrote 569 Medicare Part D claims totaling $30K in drug costs for 72 beneficiaries.
What is KERSTIN LAPPEN, CNS's Medicare quality score?
KERSTIN LAPPEN, CNS has a CMS MIPS Final Score of 83.5331/100 (Quality: 81.7967, Cost: 63.3136). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KERSTIN LAPPEN, CNS located?
KERSTIN LAPPEN, CNS is located at 910 E 26TH ST, MINNEAPOLIS, MN, 55404. Phone: (612) 884-6300.
What is KERSTIN LAPPEN, CNS's NPI number?
KERSTIN LAPPEN, CNS's National Provider Identifier (NPI) is 1427019538, issued on 03/29/2006.
Does KERSTIN LAPPEN, CNS prescribe more brand-name or generic drugs?
KERSTIN LAPPEN, CNS's prescribing is 9% brand-name and 91% generic drugs by claim count, with $13K in brand drug costs.
Does KERSTIN LAPPEN, CNS prescribe opioids?
Yes, KERSTIN LAPPEN, CNS had 227 opioid claims in 2023 with an opioid prescribing rate of 39.9%.
How many Clinical Nurse Specialist providers are there in the US?
There are 1,708 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does KERSTIN LAPPEN, CNS prescribe most often?
Based on 2023 Medicare Part D data, KERSTIN LAPPEN, CNS's most frequently prescribed drugs include Oxycodone Hcl, Hydromorphone Hcl, Morphine Sulfate Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KERSTIN LAPPEN, CNS accept Medicare?
KERSTIN LAPPEN, CNS appears in CMS Medicare data with 569 Part D claims and 72 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KERSTIN LAPPEN, CNS's credentials?
KERSTIN LAPPEN, CNS's NPI is 1427019538 with credentials CNS. 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