2026 NPPES data Advanced Practice Midwife NPI 1144593484 APRN, CNM
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KRISTIAN ORESTIS, APRN, CNM

Advanced Practice Midwife in MANCHESTER, New Hampshire. 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
17
Medicare Part D claims · Advanced Practice Midwife avg: 99
Industry payments
$24.07
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KRISTIAN ORESTIS, APRN, CNM filed 17 Medicare Part D claims in 2023 as a Advanced Practice Midwife in MANCHESTER, New Hampshire.

17
Part D claims, 2023
$24.07
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.

KRISTIAN ORESTIS, APRN, CNM's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

17 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about KRISTIAN ORESTIS, APRN, CNM?

Quality data not reported

NPI registry status

Active

Issued 02/16/2012

NPI 1144593484

Primary specialty

Advanced Practice Midwife

Mid-sized

10,893 US NPIs in this specialty

Medicare Part D claims

17 83% vs specialty avg

2023 prescription claims

Specialty avg: 99

Specialty distribution in New Hampshire

How Advanced Practice Midwife compares to other specialties among New Hampshire providers

New Hampshire providers

Advanced Practice Midwife share within New Hampshire

1. Advanced Practice Midwife42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Practice Midwife share within New Hampshire

Specialty board-certification context

Estimated specialty board-certified rate — Advanced Practice Midwife (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Advanced Practice Midwife ABMS/AOA estimate

Est. board-certified rate (Advanced Practice Midwife) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Advanced Practice Midwife) — ABMS / AOA estimate

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).

KRISTIAN ORESTIS, APRN, CNM is a Advanced Practice Midwife provider practicing in MANCHESTER, New Hampshire, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APRN, CNM. NPI: 1144593484. 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.

KRISTIAN ORESTIS, APRN, CNM appears in the CMS NPPES registry as a Advanced Practice Midwife provider holding APRN, CNM credentials at 184 TARRYTOWN RD, MANCHESTER, NH, 03103, with a listed phone of (603) 626-9500. NPI 1144593484 was issued on 02/16/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ORESTIS 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 17 prescription claims written by this provider, covering N/A 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.

Advanced Practice Midwife is a mid-sized specialty nationwide, with 10,893 enrolled providers across 55 states and an average of 99 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

184 TARRYTOWN RD
MANCHESTER, NH 03103

Provider Details

NPI 1144593484
Specialty Advanced Practice Midwife
Credentials APRN, CNM
Gender Female
NPI Issued 02/16/2012

Hospital and facility affiliations

Facilities where KRISTIAN ORESTIS, APRN, CNM 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.

BRIGHAM AND WOMENS HOSPITAL INC
BOSTON, MA

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 KRISTIAN ORESTIS, APRN, CNM. Source: openpaymentsdata.cms.gov.

Total received

$24

Largest payer

Organon Llc

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.

Medicare Part D Prescribing Data

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

17
Total Claims
$2K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
19
Total Day Supply
381
Generic Drug Cost
$297

Patient Demographics

Average Patient Age
38.0 years
Avg HCC Risk Score
1.00

Advanced Practice Midwife Overview

How KRISTIAN ORESTIS, APRN, CNM fits within the Advanced Practice Midwife landscape nationally.

10,893
Advanced Practice Midwife Providers in US
55
States with Advanced Practice Midwife
99
Avg Claims per Provider

KRISTIAN ORESTIS, APRN, CNM's 17 claims are below the specialty average of 99.

Nearby Advanced Practice Midwife Providers in New Hampshire

Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as ORESTIS.

Compare Advanced Practice Midwife nationally: see state-by-state distribution →

Frequently Asked Questions

What is KRISTIAN ORESTIS, APRN, CNM's specialty?
KRISTIAN ORESTIS, APRN, CNM specializes in Advanced Practice Midwife and practices in MANCHESTER, New Hampshire. Credentials: APRN, CNM.
How much does KRISTIAN ORESTIS, APRN, CNM prescribe under Medicare Part D?
In 2023, KRISTIAN ORESTIS, APRN, CNM wrote 17 Medicare Part D claims totaling $2K in drug costs for N/A beneficiaries.
Where is KRISTIAN ORESTIS, APRN, CNM located?
KRISTIAN ORESTIS, APRN, CNM is located at 184 TARRYTOWN RD, MANCHESTER, NH, 03103. Phone: (603) 626-9500.
What is KRISTIAN ORESTIS, APRN, CNM's NPI number?
KRISTIAN ORESTIS, APRN, CNM's National Provider Identifier (NPI) is 1144593484, issued on 02/16/2012.
How many Advanced Practice Midwife providers are there in the US?
There are 10,893 Advanced Practice Midwife providers across 55 states in the US. The average Advanced Practice Midwife provider writes 99 Medicare Part D claims per year.
Does KRISTIAN ORESTIS, APRN, CNM accept Medicare?
KRISTIAN ORESTIS, APRN, CNM appears in CMS Medicare data with 17 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRISTIAN ORESTIS, APRN, CNM's credentials?
KRISTIAN ORESTIS, APRN, CNM's NPI is 1144593484 with credentials APRN, CNM. 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.
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