2026 NPPES data Primary Care Nurse Practitioner NPI 1609485481
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Kristy Mumby

Primary Care Nurse Practitioner in Kalamazoo, Michigan.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,179 in Primary Care Nurse Practitioner, 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 · 474 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.9/100
▲ 2 pts above national avg 83.1 · Above neutral
Industry payments
$180.12
10 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Kristy Mumby reported a CMS MIPS final score of 84.9/100 - above the 83.1 national average - and filed 1,598 Medicare Part D claims in 2023.

84.9/100
MIPS score · +2 vs avg
2K
Part D claims, 2023
83%
generic prescribing
$180.12
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.

Kristy Mumby's MIPS score vs every scored U.S. clinician

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

85 45th percentile higher than 45% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 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

Where Kristy Mumby sits

This provider among primary care nurse practitioner peers

Across the 958 primary care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Kristy Mumby writes more Part D claims than 69% of them and scores higher on MIPS quality than 47% - placing this provider in the high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 62Kristy Mumby-Part D claim volume, percentile in specialty: 69 · MIPS quality, percentile: 47
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one primary care nurse practitioner peer from a representative sample of 60; the gold marker is Kristy Mumby. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Kristy Mumby?

Near national average

NPI registry status

Active

Issued 07/28/2020

NPI 1609485481

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,179 US NPIs in this specialty

Medicare Part D claims

1,598 17% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

MIPS final score

84.9/100 1.8 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Primary Care Nurse Practitioner compares to other specialties among Michigan providers

Michigan providers
Behavior Technician - 21.4%Behavior Technician21.4%Clinical Social Worker - 5.8%Clinical Social Worker5.8%Student in an Organized Health Care Education/Training Program - 3.6%Student in an Organized Health Care Education/Training Program3.6%Physical Therapist - 3.4%Physical Therapist3.4%Social Worker - 3.4%Social Worker3.4%Pharmacist - 3%Pharmacist3%Primary Care Nurse Practitioner - 0.1%Primary Care Nurse Practitioner0.1%
Largest specialties in Michigan (% of in-state providers)

Medicare quality performance, MIPS

Kristy Mumby's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average

Near national average
MIPS Final Score
84.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Primary Care Nurse Practitioner) - 84.9/100 vs national avg 83.1

0%100%National avg83%84.9%
MIPS final score (Primary Care Nurse Practitioner) - 84.9/100 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).

Kristy Mumby appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider at 601 JOHN ST, Kalamazoo, MI, 49007, with a listed phone of (269) 349-9745. NPI 1609485481 was issued on 07/28/2020.

Medicare Part D records for calendar year 2023 show 1,598 prescription claims written by this provider, covering 474 Medicare beneficiaries and totaling roughly $205K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 0.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.9/100 for the 2023 performance year (Quality 81.3, Cost 68.3), compared with the national average of 83.1.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,179 enrolled providers across 54 states and an average of 1,363 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

601 JOHN ST
Kalamazoo, MI 49007

Provider Details

NPI 1609485481
Specialty Primary Care Nurse Practitioner
Gender Female
NPI Issued 07/28/2020

CMS Quality Score (MIPS)

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

84.8851
Final Score
Avg: 83.1
81.2912
Quality
68.3258
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Kristy Mumby 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.

Bronson Methodist Hospital
★★★★☆ 4/5
Kalamazoo, MI
Acute Care Hospitals
CMS CCN: 230017

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 Kristy Mumby. Source: openpaymentsdata.cms.gov.

Total received

$180

Largest payer

Sumitomo Pharma America, 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.

License & disciplinary context - Michigan MI-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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Kristy Mumby. To verify Kristy Mumby's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Kristy Mumby - brand share 17.0%
Primary Care Nurse Practitioner average

17% brand-name claims vs 83% generic, on 1,598 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.

1,598
Total Claims
$205K
Total Drug Cost
474
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,668
Total Day Supply
74,062
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$160K
Generic Drug Cost
$45K
Opioid Claims
14 (0.9% rate)
Antibiotic Claims
254

Patient Demographics

Average Patient Age
74.7 years
Avg HCC Risk Score
1.45
Gender Split
39% female / 61% male
Age Distribution
<65: 44, 65-74: 167, 75-84: 197, 85+: 66

Top Prescribed Drugs (Medicare Part D)

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

What Kristy Mumby 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
Tamsulosin Hcl
433
Finasteride
259
Myrbetriq
Mirabegron
226
Solifenacin Succinate
119
Cephalexin
78
Oxybutynin Chloride Er
Oxybutynin Chloride
55
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
50
Methenamine Hippurate
45
Estradiol
41
Ciprofloxacin Hcl
32

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

Primary Care Nurse Practitioner Overview

How Kristy Mumby fits within the Primary Care Nurse Practitioner landscape nationally.

10,179
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

Kristy Mumby's 1,598 claims are above the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in Michigan

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

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

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 Michigan medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Primary Care Nurse Practitioner 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.

Frequently Asked Questions

What is Kristy Mumby's specialty?
Kristy Mumby specializes in Primary Care Nurse Practitioner and practices in Kalamazoo, Michigan.
How much does Kristy Mumby prescribe under Medicare Part D?
In 2023, Kristy Mumby wrote 1,598 Medicare Part D claims totaling $205K in drug costs for 474 beneficiaries.
What is Kristy Mumby's Medicare quality score?
Kristy Mumby has a CMS MIPS Final Score of 84.9/100 (Quality: 81.3, Cost: 68.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kristy Mumby located?
Kristy Mumby is located at 601 JOHN ST, Kalamazoo, MI, 49007. Phone: (269) 349-9745.
What is Kristy Mumby's NPI number?
Kristy Mumby's National Provider Identifier (NPI) is 1609485481, issued on 07/28/2020.
Does Kristy Mumby prescribe more brand-name or generic drugs?
Kristy Mumby's prescribing is 17% brand-name and 83% generic drugs by claim count, with $160K in brand drug costs.
Does Kristy Mumby prescribe opioids?
Yes, Kristy Mumby had 14 opioid claims in 2023 with an opioid prescribing rate of 0.9%.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,179 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does Kristy Mumby prescribe most often?
Based on 2023 Medicare Part D data, Kristy Mumby's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kristy Mumby accept Medicare?
Kristy Mumby appears in CMS Medicare data with 1,598 Part D claims and 474 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kristy Mumby's credentials?
Kristy Mumby's NPI is 1609485481. 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.