2026 NPPES data Family Nurse Practitioner NPI 1386263986 APRN, FNP-C
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KRISSA GUESS, APRN, FNP-C

Family Nurse Practitioner in HIXSON, Tennessee. 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
123
Medicare Part D claims · 106 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
86.6462/100
▲ 4 pts above national avg 83.1 · [object Object]

What the federal data shows

KRISSA GUESS, APRN, FNP-C reported a CMS MIPS final score of 86.6462/100 — above the 83.1 national average — and filed 123 Medicare Part D claims in 2023.

86.6462/100
MIPS score · +4 vs avg
123
Part D claims, 2023

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.

KRISSA GUESS, APRN, FNP-C's MIPS score vs every scored U.S. clinician

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

87 Top 48% higher than 52% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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 KRISSA GUESS, APRN, FNP-C?

High performer (top quartile)

NPI registry status

Active

Issued 04/13/2020

NPI 1386263986

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

123 90% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

86.6462/100 3.546199999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Tennessee

How Family Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Family Nurse Practitioner share within Tennessee

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

Medicare quality performance — MIPS

KRISSA GUESS, APRN, FNP-C's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
86.6462/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 86.6462/100 vs national avg 83.1

0%100%National avg83%86.6%
MIPS final score (Family Nurse Practitioner) — 86.6462/100 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).

KRISSA GUESS, APRN, FNP-C appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APRN, FNP-C credentials at 5120 HIGHWAY 153, HIXSON, TN, 37343, with a listed phone of (423) 991-8227. NPI 1386263986 was issued on 04/13/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUESS 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 123 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $2K in drug spend. 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 86.6462/100 for the 2023 performance year (Quality 78.6747, Cost 94.5837), 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

5120 HIGHWAY 153
HIXSON, TN 37343

Provider Details

NPI 1386263986
Specialty Family Nurse Practitioner
Credentials APRN, FNP-C
Gender Female
NPI Issued 04/13/2020

CMS Quality Score (MIPS)

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

86.6462
Final Score
Avg: 83.1
78.6747
Quality
94.5837
Cost

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

123
Total Claims
$2K
Total Drug Cost
106
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
127
Total Day Supply
1,184
Generic Drug Cost
$1K
Antibiotic Claims
71

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
0.81
Gender Split
71% female / 29% 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
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
33

* 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 KRISSA GUESS, APRN, FNP-C 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

KRISSA GUESS, APRN, FNP-C's 123 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Tennessee

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

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

Frequently Asked Questions

What is KRISSA GUESS, APRN, FNP-C's specialty?
KRISSA GUESS, APRN, FNP-C specializes in Family Nurse Practitioner and practices in HIXSON, Tennessee. Credentials: APRN, FNP-C.
How much does KRISSA GUESS, APRN, FNP-C prescribe under Medicare Part D?
In 2023, KRISSA GUESS, APRN, FNP-C wrote 123 Medicare Part D claims totaling $2K in drug costs for 106 beneficiaries.
What is KRISSA GUESS, APRN, FNP-C's Medicare quality score?
KRISSA GUESS, APRN, FNP-C has a CMS MIPS Final Score of 86.6462/100 (Quality: 78.6747, Cost: 94.5837). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KRISSA GUESS, APRN, FNP-C located?
KRISSA GUESS, APRN, FNP-C is located at 5120 HIGHWAY 153, HIXSON, TN, 37343. Phone: (423) 991-8227.
What is KRISSA GUESS, APRN, FNP-C's NPI number?
KRISSA GUESS, APRN, FNP-C's National Provider Identifier (NPI) is 1386263986, issued on 04/13/2020.
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 KRISSA GUESS, APRN, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, KRISSA GUESS, APRN, FNP-C's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KRISSA GUESS, APRN, FNP-C accept Medicare?
KRISSA GUESS, APRN, FNP-C appears in CMS Medicare data with 123 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRISSA GUESS, APRN, FNP-C's credentials?
KRISSA GUESS, APRN, FNP-C's NPI is 1386263986 with credentials APRN, FNP-C. 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