2026 NPPES data Critical Care Medicine Registered Nurse NPI 1972980290 RN
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KRISTEN HERTZLER, RN

Critical Care Medicine Registered Nurse in HARRISBURG, Pennsylvania. 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
4K
Medicare Part D claims · 380 beneficiaries · Critical Care Medicine Registered Nurse avg: 752
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
71.1774/100
▼ 12 pts below national avg 83.1 · [object Object]

What the federal data shows

KRISTEN HERTZLER, RN reported a CMS MIPS final score of 71.1774/100 — below the 83.1 national average — and filed 3,854 Medicare Part D claims in 2023.

71.1774/100
MIPS score · -12 vs avg
4K
Part D claims, 2023
89%
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.

KRISTEN HERTZLER, RN's MIPS score vs every scored U.S. clinician

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

71 9th percentile higher than 9% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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 KRISTEN HERTZLER, RN?

Below national average

NPI registry status

Active

Issued 05/06/2015

NPI 1972980290

Primary specialty

Critical Care Medicine Registered Nurse

Mid-sized

6,529 US NPIs in this specialty

Medicare Part D claims

3,854 413% vs specialty avg

2023 prescription claims

Specialty avg: 752

MIPS final score

71.1774/100 11.922599999999989% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Critical Care Medicine Registered Nurse compares to other specialties among Pennsylvania providers

Pennsylvania providers

Critical Care Medicine Registered Nurse share within Pennsylvania

1. Critical Care Medicine Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine Registered Nurse share within Pennsylvania

Medicare quality performance — MIPS

KRISTEN HERTZLER, RN's 2023 MIPS final score plotted against the Critical Care Medicine Registered Nurse national average

Below national average
MIPS Final Score
71.1774/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine Registered Nurse) — 71.1774/100 vs national avg 83.1

0%100%National avg83%71.2%
MIPS final score (Critical Care Medicine Registered Nurse) — 71.1774/100 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 HERTZLER, RN appears in the CMS NPPES registry as a Critical Care Medicine Registered Nurse provider holding RN credentials at 4230 CRUMS MILL RD, HARRISBURG, PA, 17112, with a listed phone of (717) 233-6171. NPI 1972980290 was issued on 05/06/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HERTZLER 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 3,854 prescription claims written by this provider, covering 380 Medicare beneficiaries and totaling roughly $435K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 0.3%. 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 71.1774/100 for the 2023 performance year (Quality 46.0539, Cost 58.7042), compared with the national average of 83.1.

Critical Care Medicine Registered Nurse is a mid-sized specialty nationwide, with 6,529 enrolled providers across 53 states and an average of 752 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

4230 CRUMS MILL RD
HARRISBURG, PA 17112

Provider Details

NPI 1972980290
Specialty Critical Care Medicine Registered Nurse
Credentials RN
Gender Female
NPI Issued 05/06/2015

CMS Quality Score (MIPS)

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

71.1774
Final Score
Avg: 83.1
46.0539
Quality
58.7042
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KRISTEN HERTZLER, RN 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.

PENN STATE HEALTH MEDICAL GROUP LLC
HERSHEY, PA

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

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to KRISTEN HERTZLER, RN. To verify KRISTEN HERTZLER, RN's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

KRISTEN HERTZLER, RN — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 3,854 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.

3,854
Total Claims
$435K
Total Drug Cost
380
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,689
Total Day Supply
256,136
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$348K
Generic Drug Cost
$85K
Opioid Claims
12 (0.3% rate)
Antibiotic Claims
57

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.03
Gender Split
56% female / 44% male
Age Distribution
<65: 64, 65-74: 159, 75-84: 111, 85+: 46

Top Prescribed Drugs (Medicare Part D)

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

What KRISTEN HERTZLER, RN prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
258
Amlodipine Besylate
175
Lisinopril
175
Levothyroxine Sodium
142
Rosuvastatin Calcium
141
Metoprolol Succinate
132
Gabapentin
125
Famotidine
105
Losartan Potassium
99
Metformin Hcl
74

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

Critical Care Medicine Registered Nurse Overview

How KRISTEN HERTZLER, RN fits within the Critical Care Medicine Registered Nurse landscape nationally.

6,529
Critical Care Medicine Registered Nurse Providers in US
53
States with Critical Care Medicine Registered Nurse
752
Avg Claims per Provider

KRISTEN HERTZLER, RN's 3,854 claims are above the specialty average of 752.

Nearby Critical Care Medicine Registered Nurse Providers in Pennsylvania

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

Compare Critical Care Medicine Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is KRISTEN HERTZLER, RN's specialty?
KRISTEN HERTZLER, RN specializes in Critical Care Medicine Registered Nurse and practices in HARRISBURG, Pennsylvania. Credentials: RN.
How much does KRISTEN HERTZLER, RN prescribe under Medicare Part D?
In 2023, KRISTEN HERTZLER, RN wrote 3,854 Medicare Part D claims totaling $435K in drug costs for 380 beneficiaries.
What is KRISTEN HERTZLER, RN's Medicare quality score?
KRISTEN HERTZLER, RN has a CMS MIPS Final Score of 71.1774/100 (Quality: 46.0539, Cost: 58.7042). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KRISTEN HERTZLER, RN located?
KRISTEN HERTZLER, RN is located at 4230 CRUMS MILL RD, HARRISBURG, PA, 17112. Phone: (717) 233-6171.
What is KRISTEN HERTZLER, RN's NPI number?
KRISTEN HERTZLER, RN's National Provider Identifier (NPI) is 1972980290, issued on 05/06/2015.
Does KRISTEN HERTZLER, RN prescribe more brand-name or generic drugs?
KRISTEN HERTZLER, RN's prescribing is 11% brand-name and 89% generic drugs by claim count, with $348K in brand drug costs.
Does KRISTEN HERTZLER, RN prescribe opioids?
Yes, KRISTEN HERTZLER, RN had 12 opioid claims in 2023 with an opioid prescribing rate of 0.3%.
How many Critical Care Medicine Registered Nurse providers are there in the US?
There are 6,529 Critical Care Medicine Registered Nurse providers across 53 states in the US. The average Critical Care Medicine Registered Nurse provider writes 752 Medicare Part D claims per year.
What drugs does KRISTEN HERTZLER, RN prescribe most often?
Based on 2023 Medicare Part D data, KRISTEN HERTZLER, RN's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KRISTEN HERTZLER, RN accept Medicare?
KRISTEN HERTZLER, RN appears in CMS Medicare data with 3,854 Part D claims and 380 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRISTEN HERTZLER, RN's credentials?
KRISTEN HERTZLER, RN's NPI is 1972980290 with credentials RN. 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