NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1043598535 APRN
Verify on CMS → Kyra Smith, APRN
Family Nurse Practitioner in Victoria, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 216,959 in Family 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
6K
Medicare Part D claims · 121 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.4/100
▲ 3 pts above national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Kyra Smith, APRN reported a CMS MIPS final score of 86.4/100 - above the 83.5 national average - and filed 5,743 Medicare Part D claims in 2024.
- 86.4/100
- MIPS score · +3 vs avg
- 6K
- Part D claims, 2024
- 88%
- generic prescribing
- ≥49th
- pct among measured MIPS (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 Kyra Smith, APRN
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1043598535), first enumerated 08/01/2011.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 5,743 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 86.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Kyra Smith, APRN's individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- 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 1043598535 · Family Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-INLINE · RX-MID · BOOK-MID · PHOTO-FINISH
- NPI-10 1043598535
- ENUM-MID 2011
- TAX-MEGA 217K Family Nurse
- MIPS-INLINE 86.4/100
- RX-MID 5,743
- BOOK-MID 19,347 in Texas
- PHOTO-FINISH Margaret Avery · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Smith · this pro…
Smith · this provider
86.4 MIPS pts
- Ryan Severo · hi…
Ryan Severo
86.4 MIPS pts
- Margaret Avery ·…
Margaret Avery
86.4 MIPS pts
- Kristen Lika · n…
Kristen Lika
86.4 MIPS pts
- Christina Milo ·…
Christina Milo
86.4 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Kyra Smith, APRN's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
86 ≥ 49th percentile 49% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Kyra Smith, APRN sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Kyra Smith, APRN writes more Part D claims than 96% of them and scores higher on MIPS quality than 49% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Kyra Smith, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Kyra Smith, APRN?
High performer (top quartile)Primary specialty
Family Nurse Practitioner
Medicare Part D claims
5,743 341% vs specialty avg
MIPS final score
86.4/100 2.9 pts vs avg
Specialty distribution in Texas
How Family Nurse Practitioner compares to other specialties among Texas providers
Medicare quality performance, MIPS
Kyra Smith, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 86.4/100
- vs 83.5 national avg · 2023 performance year
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 | 1043598535 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 08/01/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
86.3796
Final Score
Measured-score avg: 83.5
72.7593
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Kyra Smith, APRN. To verify Kyra Smith, APRN's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Kyra Smith, APRN - brand share 12.0%
Family Nurse Practitioner average
12% brand-name claims vs 88% generic, on 5,743 2024 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 2024.
5,743
Total Claims
$243K
Total Drug Cost
121
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 5,770.733
- Total Day Supply
- 102,883
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $165K
- Generic Drug Cost
- $76K
- Opioid Claims
- 25 (0.4% rate)
- Antibiotic Claims
- 47
Patient Demographics
- Average Patient Age
- 81.8 years
- Avg HCC Risk Score
- 2.78
- Gender Split
- 66% female / 34% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Kyra Smith, APRN prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
320 claims
- Potassium Chloride
Potassium Chloride
265 claims
- Furosemide
Furosemide
255 claims
- Donepezil Hcl
Donepezil Hcl
246 claims
- Amlodipine Besylate
Amlodipine Besylate
234 claims
- Levothyroxine Sodium
Levothyroxine Sodium
199 claims
- Eliquis
Eliquis
169 claims
- Gabapentin
Gabapentin
152 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 320 |
| Potassium Chloride | 265 |
| Furosemide | 255 |
| Donepezil Hcl | 246 |
| Amlodipine Besylate | 234 |
| Levothyroxine Sodium | 199 |
| Eliquis Apixaban | 169 |
| Gabapentin | 152 |
| Lisinopril | 152 |
| Tamsulosin Hcl | 126 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Kyra Smith, APRN fits within the Family Nurse Practitioner landscape nationally.
216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider
Kyra Smith, APRN's 5,743 claims are above the specialty average of 1,302.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Smith, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (86.4 here).
Same NPPES enumeration year (2011)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Smith.
One of 19,347 Family Nurse Practitioner providers enrolled in Texas, 5 are shown here.
Ashley Aaron
FNP
Waco, TX
Christina Aaron
FNP
Texarkana, TX
Lori Aaron
FNP-C
Frisco, TX
Lauren Aase
FNP
Sheppard Afb, TX
Olivia Ababio
Cypress, TX
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Kyra Smith, APRN's specialty? ▼
Kyra Smith, APRN specializes in Family Nurse Practitioner and practices in Victoria, Texas. Credentials: APRN.
How much does Kyra Smith, APRN prescribe under Medicare Part D? ▼
In 2024, Kyra Smith, APRN wrote 5,743 Medicare Part D claims totaling $243K in drug costs for 121 beneficiaries.
What is Kyra Smith, APRN's Medicare quality score? ▼
Kyra Smith, APRN has a CMS MIPS Final Score of 86.4/100 (Quality: 72.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kyra Smith, APRN located? ▼
Kyra Smith, APRN is located at 605 E SAN ANTONIO ST, Victoria, TX, 77901. Phone: (361) 575-8585.
What is Kyra Smith, APRN's NPI number? ▼
Kyra Smith, APRN's National Provider Identifier (NPI) is 1043598535, issued on 08/01/2011.
Does Kyra Smith, APRN prescribe more brand-name or generic drugs? ▼
Kyra Smith, APRN's prescribing is 12% brand-name and 88% generic drugs by claim count, with $165K in brand drug costs.
Does Kyra Smith, APRN prescribe opioids? ▼
Yes, Kyra Smith, APRN had 25 opioid claims in 2024 with an opioid prescribing rate of 0.4%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Kyra Smith, APRN prescribe most often? ▼
Based on 2024 Medicare Part D data, Kyra Smith, APRN's most frequently prescribed drugs include Atorvastatin Calcium, Potassium Chloride, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kyra Smith, APRN accept Medicare? ▼
Kyra Smith, APRN appears in CMS Medicare data with 5,743 Part D claims and 121 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kyra Smith, APRN's credentials? ▼
Kyra Smith, APRN's NPI is 1043598535 with credentials APRN. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.