NPI registry status
Active
2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1932428943 MSN, APRN, ACNS-BC
Verify on CMS → Kristi Skinner, MSN, APRN, ACNS-BC
Adult Health Clinical Nurse Specialist in Cape Girardeau, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,379 in Adult 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
2K
Medicare Part D claims · 320 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.0K
27 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Kristi Skinner, MSN, APRN, ACNS-BC filed 1,913 Medicare Part D claims in 2023 as an Adult Health Clinical Nurse Specialist in Cape Girardeau, Missouri, prescribing 99% generic.
- 2K
- Part D claims, 2023
- 99%
- generic prescribing
- $1.0K
- industry payments (Sunshine Act)
- ≥84th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Kristi Skinner, MSN, APRN, ACNS-BC
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1932428943), first enumerated 06/01/2010.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,913 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$1.0K in reported industry payments (27 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1932428943 · Adult Health Clinical Nurse Specialist
NPI-10 · ENUM-MID · TAX-NARROW · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1932428943
- ENUM-MID 2010
- TAX-NARROW 1,379
- RX-MID 1,913
- BOOK-THIN 40 in Missouri
- PHOTO-ENUM Elizabeth Rohlich · 2010
Kristi Skinner, MSN, APRN, ACNS-BC's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,913 ≥ 84th percentile 84% of 1,370,886 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Kristi Skinner, MSN, APRN, ACNS-BC?
Quality data not reportedPrimary specialty
Adult Health Clinical Nurse Specialist
Medicare Part D claims
1,913 76% vs specialty avg
Specialty distribution in Missouri
How Adult Health Clinical Nurse Specialist compares to other specialties among Missouri providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Adult Health Clinical Nurse Specialist. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1932428943 |
|---|---|
| Specialty | Adult Health Clinical Nurse Specialist |
| Credentials | MSN, APRN, ACNS-BC |
| Gender | Female |
| NPI Issued | 06/01/2010 |
Hospital and facility affiliations
Facilities where Kristi Skinner, MSN, APRN, ACNS-BC 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.
Iron County Hospital District
Pilot Knob, MO
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 Kristi Skinner, MSN, APRN, ACNS-BC. Source: openpaymentsdata.cms.gov.
Total received
$1.0K
Largest payer
Nalu Medical, 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 · Generic-heavy
Kristi Skinner, MSN, APRN, ACNS-BC - brand share 1.0%
Adult Health Clinical Nurse Specialist average
1% brand-name claims vs 99% generic, on 1,913 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.
1,913
Total Claims
$37K
Total Drug Cost
320
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,322
- Total Day Supply
- 64,998
- Brand vs Generic
- 1% brand / 99% generic
- Brand Drug Cost
- $5K
- Generic Drug Cost
- $32K
- Opioid Claims
- 201 (10.5% rate)
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 1.50
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 61, 65-74: 164, 75-84: 77, 85+: 18
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kristi Skinner, MSN, APRN, ACNS-BC prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
547 claims
- Tizanidine Hcl
Tizanidine Hcl
257 claims
- Duloxetine Hcl
Duloxetine Hcl
254 claims
- Tramadol Hcl 180
Tramadol Hcl
180 claims
- Pregabalin 172
Pregabalin
172 claims
- Baclofen 160
Baclofen
160 claims
- Topiramate 74
Topiramate
74 claims
- Cyclobenzaprine Hcl 43
Cyclobenzaprine Hcl
43 claims
| Drug | Claims |
|---|---|
| Gabapentin | 547 |
| Tizanidine Hcl | 257 |
| Duloxetine Hcl | 254 |
| Tramadol Hcl | 180 |
| Pregabalin | 172 |
| Baclofen | 160 |
| Topiramate | 74 |
| Cyclobenzaprine Hcl | 43 |
| Methocarbamol | 37 |
| Methylprednisolone | 30 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Adult Health Clinical Nurse Specialist in MO →
All providers in Missouri →
Compare specialties →
Adult Health Clinical Nurse Specialist Overview
How Kristi Skinner, MSN, APRN, ACNS-BC fits within the Adult Health Clinical Nurse Specialist landscape nationally.
1,379
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,088
Avg Claims per Provider
Kristi Skinner, MSN, APRN, ACNS-BC's 1,913 claims are above the specialty average of 1,088.
Nationwide Adult Health Clinical Nurse Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Skinner, both outside Missouri so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult Health Clinical Nurse Specialist Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Skinner.
One of 40 Adult Health Clinical Nurse Specialist providers enrolled in Missouri, 5 are shown here.
Dr. Catherine Ashbaugh
APRN
Columbia, MO
Dr. Laura Billings
A.H.C.N.S.
Columbia, MO
Dr. Judith Boland
RN, MSN, ACNS-BC
Marshall, MO
Dr. Janet Chance-Hetzler
DNP, MSN, RN, APRN
Sedalia, MO
Dr. Nadezhda Chernookaya
ACCNS-AG
Columbia, MO
Compare Adult Health Clinical Nurse Specialist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Kristi Skinner, MSN, APRN, ACNS-BC's specialty? ▼
Kristi Skinner, MSN, APRN, ACNS-BC specializes in Adult Health Clinical Nurse Specialist and practices in Cape Girardeau, Missouri. Credentials: MSN, APRN, ACNS-BC.
How much does Kristi Skinner, MSN, APRN, ACNS-BC prescribe under Medicare Part D? ▼
In 2023, Kristi Skinner, MSN, APRN, ACNS-BC wrote 1,913 Medicare Part D claims totaling $37K in drug costs for 320 beneficiaries.
Where is Kristi Skinner, MSN, APRN, ACNS-BC located? ▼
Kristi Skinner, MSN, APRN, ACNS-BC is located at 1723 BROADWAY ST STE 410, Cape Girardeau, MO, 63701. Phone: (573) 339-1957.
What is Kristi Skinner, MSN, APRN, ACNS-BC's NPI number? ▼
Kristi Skinner, MSN, APRN, ACNS-BC's National Provider Identifier (NPI) is 1932428943, issued on 06/01/2010.
Does Kristi Skinner, MSN, APRN, ACNS-BC prescribe more brand-name or generic drugs? ▼
Kristi Skinner, MSN, APRN, ACNS-BC's prescribing is 1% brand-name and 99% generic drugs by claim count, with $5K in brand drug costs.
Does Kristi Skinner, MSN, APRN, ACNS-BC prescribe opioids? ▼
Yes, Kristi Skinner, MSN, APRN, ACNS-BC had 201 opioid claims in 2023 with an opioid prescribing rate of 10.5%.
How many Adult Health Clinical Nurse Specialist providers are there in the US? ▼
There are 1,379 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,088 Medicare Part D claims per year.
What drugs does Kristi Skinner, MSN, APRN, ACNS-BC prescribe most often? ▼
Based on 2023 Medicare Part D data, Kristi Skinner, MSN, APRN, ACNS-BC's most frequently prescribed drugs include Gabapentin, Tizanidine Hcl, Duloxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kristi Skinner, MSN, APRN, ACNS-BC accept Medicare? ▼
Kristi Skinner, MSN, APRN, ACNS-BC appears in CMS Medicare data with 1,913 Part D claims and 320 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kristi Skinner, MSN, APRN, ACNS-BC's credentials? ▼
Kristi Skinner, MSN, APRN, ACNS-BC's NPI is 1932428943 with credentials MSN, APRN, ACNS-BC. 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.
- 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
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.