2026 NPPES data Nurse Practitioner NPI 1104312396 FNP
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Kimberly Spain, FNP

Nurse Practitioner in Charlotte, North Carolina. 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
166
Medicare Part D claims · 104 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

Kimberly Spain, FNP filed 166 Medicare Part D claims in 2023 as a Nurse Practitioner in Charlotte, North Carolina, prescribing 91% generic.

166
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.

Kimberly Spain, FNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

166 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Kimberly Spain, FNP?

Quality data not reported

NPI registry status

Active

Issued 07/10/2018

NPI 1104312396

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

166 85% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

Specialty distribution in North Carolina

How Nurse Practitioner compares to other specialties among North Carolina providers

North Carolina providers

Nurse Practitioner share within North Carolina

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

Specialty board-certification context

Estimated specialty board-certified rate — Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

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).

Kimberly Spain, FNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding FNP credentials at 14214 BALLANTYNE LAKE RD, Charlotte, NC, 28277, with a listed phone of (704) 667-2650. NPI 1104312396 was issued on 07/10/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Spain 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 166 prescription claims written by this provider, covering 104 Medicare beneficiaries and totaling roughly $12K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 14.5%. 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.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

14214 BALLANTYNE LAKE RD
Charlotte, NC 28277

Provider Details

NPI 1104312396
Specialty Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 07/10/2018

Brand vs generic prescribing mix · Generic-heavy

Kimberly Spain, FNP — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 166 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.

166
Total Claims
$12K
Total Drug Cost
104
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
178
Total Day Supply
2,109
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$10K
Generic Drug Cost
$2K
Opioid Claims
24 (14.5% rate)
Antibiotic Claims
47

Patient Demographics

Average Patient Age
67.9 years
Avg HCC Risk Score
1.42
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cephalexin
14
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
12

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

Nurse Practitioner Overview

How Kimberly Spain, FNP fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

Kimberly Spain, FNP's 166 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Spain.

Compare 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 North Carolina medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby 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 Kimberly Spain, FNP's specialty?
Kimberly Spain, FNP specializes in Nurse Practitioner and practices in Charlotte, North Carolina. Credentials: FNP.
How much does Kimberly Spain, FNP prescribe under Medicare Part D?
In 2023, Kimberly Spain, FNP wrote 166 Medicare Part D claims totaling $12K in drug costs for 104 beneficiaries.
Where is Kimberly Spain, FNP located?
Kimberly Spain, FNP is located at 14214 BALLANTYNE LAKE RD, Charlotte, NC, 28277. Phone: (704) 667-2650.
What is Kimberly Spain, FNP's NPI number?
Kimberly Spain, FNP's National Provider Identifier (NPI) is 1104312396, issued on 07/10/2018.
Does Kimberly Spain, FNP prescribe more brand-name or generic drugs?
Kimberly Spain, FNP's prescribing is 9% brand-name and 91% generic drugs by claim count, with $10K in brand drug costs.
Does Kimberly Spain, FNP prescribe opioids?
Yes, Kimberly Spain, FNP had 24 opioid claims in 2023 with an opioid prescribing rate of 14.5%.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does Kimberly Spain, FNP prescribe most often?
Based on 2023 Medicare Part D data, Kimberly Spain, FNP's most frequently prescribed drugs include Cephalexin, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kimberly Spain, FNP accept Medicare?
Kimberly Spain, FNP appears in CMS Medicare data with 166 Part D claims and 104 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kimberly Spain, FNP's credentials?
Kimberly Spain, FNP's NPI is 1104312396 with credentials FNP. 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.
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