NPI registry status
Active
2026 NPPES data Psychiatric/Mental Health Clinical Nurse Specialist NPI 1538432513 A.P.R.N.
Verify on CMS → Krista Blough, A.P.R.N.
Psychiatric/Mental Health Clinical Nurse Specialist in Cody, Wyoming.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 978 in Psychiatric/Mental Health Clinical Nurse Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
620
Medicare Part D claims · 31 beneficiaries · Psychiatric/Mental Health Clinical Nurse Specialist avg: 1K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
61.2/100
▼ 22 pts below national avg 83.1 · Mid-tier
Industry payments
$50.88
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Krista Blough, A.P.R.N. reported a CMS MIPS final score of 61.2/100 - below the 83.1 national average - and filed 620 Medicare Part D claims in 2023.
- 61.2/100
- MIPS score · -22 vs avg
- 620
- Part D claims, 2023
- 81%
- generic prescribing
- $50.88
- 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.
Krista Blough, A.P.R.N.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
61 6th percentile higher than 6% of 477,587 scored providers
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
Where Krista Blough, A.P.R.N. sits
This provider among psychiatric/mental health clinical nurse specialist peers
Across the 30 psychiatric/mental health clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Krista Blough, A.P.R.N. writes more Part D claims than 47% of them and scores higher on MIPS quality than 0% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one psychiatric/mental health clinical nurse specialist peer from a representative sample of 29; the gold marker is Krista Blough, A.P.R.N.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Krista Blough, A.P.R.N.?
Below national averagePrimary specialty
Psychiatric/Mental Health Clinical Nurse Specialist
Medicare Part D claims
620 41% vs specialty avg
MIPS final score
61.2/100 21.9 pts vs avg
Specialty distribution in Wyoming
How Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among Wyoming providers
Medicare quality performance, MIPS
Krista Blough, A.P.R.N.'s 2023 MIPS final score plotted against the Psychiatric/Mental Health Clinical Nurse Specialist national average
- MIPS Final Score
- 61.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Psychiatric/Mental Health Clinical Nurse Specialist) - 61.2/100 vs national avg 83.1
How MIPS and board certification work
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).
Krista Blough, A.P.R.N. appears in the CMS NPPES registry as a Psychiatric/Mental Health Clinical Nurse Specialist provider holding A.P.R.N. credentials at 1002 RUMSEY AVE STE A, Cody, WY, 82414, with a listed phone of (307) 395-7510. NPI 1538432513 was issued on 02/21/2012.
Medicare Part D records for calendar year 2023 show 620 prescription claims written by this provider, covering 31 Medicare beneficiaries and totaling roughly $243K in drug spend, split 19% brand-name and 81% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 61.2/100 for the 2023 performance year (Quality 71.8, Cost 15.4), compared with the national average of 83.1.
Psychiatric/Mental Health Clinical Nurse Specialist is a narrow specialty nationwide, with 978 enrolled providers across 50 states and an average of 1,050 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
Provider Details
| NPI | 1538432513 |
|---|---|
| Specialty | Psychiatric/Mental Health Clinical Nurse Specialist |
| Credentials | A.P.R.N. |
| Gender | Female |
| NPI Issued | 02/21/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
61.1748
Final Score
Avg: 83.1
71.8372
Quality
15.412
Cost
80
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Krista Blough, A.P.R.N. 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.
Sage Psychiatry Services LLC
Cody, WY
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 Krista Blough, A.P.R.N.. Source: openpaymentsdata.cms.gov.
Total received
$51
Largest payer
Neurocrine Biosciences, 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 · Typical
Krista Blough, A.P.R.N. - brand share 19.0%
Psychiatric/Mental Health Clinical Nurse Specialist average
19% brand-name claims vs 81% generic, on 620 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.
620
Total Claims
$243K
Total Drug Cost
31
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 715
- Total Day Supply
- 20,324
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $221K
- Generic Drug Cost
- $22K
Patient Demographics
- Average Patient Age
- 62.6 years
- Avg HCC Risk Score
- 1.10
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 13, 65-74: 13, 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.
What Krista Blough, A.P.R.N. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clonazepam
Clonazepam
53 claims
- Duloxetine Hcl
Duloxetine Hcl
41 claims
- Trazodone Hcl
Trazodone Hcl
35 claims
- Vraylar
Vraylar
35 claims
- Venlafaxine Hcl Er
Venlafaxine Hcl Er
30 claims
- Quetiapine Fumarate
Quetiapine Fumarate
29 claims
- Lorazepam
Lorazepam
27 claims
- Trintellix
Trintellix
23 claims
| Drug | Claims |
|---|---|
| Clonazepam | 53 |
| Duloxetine Hcl | 41 |
| Trazodone Hcl | 35 |
| Vraylar Cariprazine Hcl | 35 |
| Venlafaxine Hcl Er Venlafaxine Hcl | 30 |
| Quetiapine Fumarate | 29 |
| Lorazepam | 27 |
| Trintellix Vortioxetine Hydrobromide | 23 |
| Modafinil | 20 |
| Dextroamphetamine-Amphetamine Dextroamphetamine/Amphetamine | 19 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Psychiatric/Mental Health Clinical Nurse Specialist in WY →
All providers in Wyoming →
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Psychiatric/Mental Health Clinical Nurse Specialist Overview
How Krista Blough, A.P.R.N. fits within the Psychiatric/Mental Health Clinical Nurse Specialist landscape nationally.
978
Psychiatric/Mental Health Clinical Nurse Specialist Providers in US
50
States with Psychiatric/Mental Health Clinical Nurse Specialist
1,050
Avg Claims per Provider
Krista Blough, A.P.R.N.'s 620 claims are below the specialty average of 1,050.
Nearby Psychiatric/Mental Health Clinical Nurse Specialist Providers in Wyoming
Other clinicians with the same primary specialty enrolled in Wyoming, drawn from the same CMS NPPES roster as Blough.
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 Wyoming medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Psychiatric/Mental Health Clinical Nurse Specialist 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.
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Frequently Asked Questions
What is Krista Blough, A.P.R.N.'s specialty? ▼
Krista Blough, A.P.R.N. specializes in Psychiatric/Mental Health Clinical Nurse Specialist and practices in Cody, Wyoming. Credentials: A.P.R.N..
How much does Krista Blough, A.P.R.N. prescribe under Medicare Part D? ▼
In 2023, Krista Blough, A.P.R.N. wrote 620 Medicare Part D claims totaling $243K in drug costs for 31 beneficiaries.
What is Krista Blough, A.P.R.N.'s Medicare quality score? ▼
Krista Blough, A.P.R.N. has a CMS MIPS Final Score of 61.2/100 (Quality: 71.8, Cost: 15.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Krista Blough, A.P.R.N. located? ▼
Krista Blough, A.P.R.N. is located at 1002 RUMSEY AVE STE A, Cody, WY, 82414. Phone: (307) 395-7510.
What is Krista Blough, A.P.R.N.'s NPI number? ▼
Krista Blough, A.P.R.N.'s National Provider Identifier (NPI) is 1538432513, issued on 02/21/2012.
Does Krista Blough, A.P.R.N. prescribe more brand-name or generic drugs? ▼
Krista Blough, A.P.R.N.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $221K in brand drug costs.
How many Psychiatric/Mental Health Clinical Nurse Specialist providers are there in the US? ▼
There are 978 Psychiatric/Mental Health Clinical Nurse Specialist providers across 50 states in the US. The average Psychiatric/Mental Health Clinical Nurse Specialist provider writes 1,050 Medicare Part D claims per year.
What drugs does Krista Blough, A.P.R.N. prescribe most often? ▼
Based on 2023 Medicare Part D data, Krista Blough, A.P.R.N.'s most frequently prescribed drugs include Clonazepam, Duloxetine Hcl, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Krista Blough, A.P.R.N. accept Medicare? ▼
Krista Blough, A.P.R.N. appears in CMS Medicare data with 620 Part D claims and 31 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Krista Blough, A.P.R.N.'s credentials? ▼
Krista Blough, A.P.R.N.'s NPI is 1538432513 with credentials A.P.R.N.. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.