2026 NPPES data Nurse Practitioner NPI 1881004323 FNP-C
Verify on CMS →

KRISTEN DECARLO, FNP-C

Nurse Practitioner in DALLAS, West Virginia. 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
85
Medicare Part D claims · 56 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
94.1061/100
▲ 11 pts above national avg 83.1 · [object Object]
What the federal data reveals: KRISTEN DECARLO, FNP-C is a Nurse Practitioner ([object Object]) practicing in DALLAS, West Virginia with a Medicare Part D prescribing footprint of 85 claims across 56 beneficiaries . Their CMS MIPS Final Score of 94.1061/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KRISTEN DECARLO, FNP-C reported a CMS MIPS final score of 94.1061 out of 100, above the 83.1 national average, and filed 85 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KRISTEN DECARLO, FNP-C at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/06/2014

NPI 1881004323

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

85 92% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

94.1061/100 11.006100000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Nurse Practitioner compares to other specialties among West Virginia providers

West Virginia providers

Nurse Practitioner share within West Virginia

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

Medicare quality performance — MIPS

KRISTEN DECARLO, FNP-C's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
94.1061/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 94.1061/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Nurse Practitioner) — 94.1061/100 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).

KRISTEN DECARLO, FNP-C is a Nurse Practitioner provider practicing in DALLAS, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: FNP-C. NPI: 1881004323. 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.

KRISTEN DECARLO, FNP-C appears in the CMS NPPES registry as a Nurse Practitioner provider holding FNP-C credentials at 4935 STONE CHURCH RD, DALLAS, WV, 26036, with a listed phone of (304) 547-5566. NPI 1881004323 was issued on 05/06/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DECARLO 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 85 prescription claims written by this provider, covering 56 Medicare beneficiaries and totaling roughly $696 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 94.1061/100 for the 2023 performance year (Quality 78.4655), compared with the national average of 83.1.

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

4935 STONE CHURCH RD
DALLAS, WV 26036

Provider Details

NPI 1881004323
Specialty Nurse Practitioner
Credentials FNP-C
Gender Female
NPI Issued 05/06/2014

CMS Quality Score (MIPS)

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

94.1061
Final Score
Avg: 83.1
78.4655
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KRISTEN DECARLO, FNP-C 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.

REYNOLDS MEMORIAL HOSPITAL, INC
★★☆☆☆ 2/5
GLEN DALE, WV
Acute Care Hospitals
CMS CCN: 510013
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
WHEELING, WV

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

85
Total Claims
$696
Total Drug Cost
56
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
85
Total Day Supply
979
Generic Drug Cost
$686

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.19
Gender Split
64% female / 36% 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
Methylprednisolone
22
Prednisone
13
Diazepam
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 KRISTEN DECARLO, FNP-C 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

KRISTEN DECARLO, FNP-C's 85 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as DECARLO.

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

Frequently Asked Questions

What is KRISTEN DECARLO, FNP-C's specialty?
KRISTEN DECARLO, FNP-C specializes in Nurse Practitioner and practices in DALLAS, West Virginia. Credentials: FNP-C.
How much does KRISTEN DECARLO, FNP-C prescribe under Medicare Part D?
In 2023, KRISTEN DECARLO, FNP-C wrote 85 Medicare Part D claims totaling $696 in drug costs for 56 beneficiaries.
What is KRISTEN DECARLO, FNP-C's Medicare quality score?
KRISTEN DECARLO, FNP-C has a CMS MIPS Final Score of 94.1061/100 (Quality: 78.4655). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KRISTEN DECARLO, FNP-C located?
KRISTEN DECARLO, FNP-C is located at 4935 STONE CHURCH RD, DALLAS, WV, 26036. Phone: (304) 547-5566.
What is KRISTEN DECARLO, FNP-C's NPI number?
KRISTEN DECARLO, FNP-C's National Provider Identifier (NPI) is 1881004323, issued on 05/06/2014.
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 KRISTEN DECARLO, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, KRISTEN DECARLO, FNP-C's most frequently prescribed drugs include Methylprednisolone, Prednisone, Diazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KRISTEN DECARLO, FNP-C accept Medicare?
KRISTEN DECARLO, FNP-C appears in CMS Medicare data with 85 Part D claims and 56 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRISTEN DECARLO, FNP-C's credentials?
KRISTEN DECARLO, FNP-C's NPI is 1881004323 with credentials 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