2026 NPPES data Nurse Practitioner NPI 1699176297 ARNP
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LACI DYKSTRA, ARNP

Nurse Practitioner in PELLA, Iowa. 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
1K
Medicare Part D claims · 124 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.5814/100
▲ 14 pts above national avg 83.1 · [object Object]
What the federal data reveals: LACI DYKSTRA, ARNP is a Nurse Practitioner ([object Object]) practicing in PELLA, Iowa with a Medicare Part D prescribing footprint of 1K claims across 124 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 97.5814/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: LACI DYKSTRA, ARNP reported a CMS MIPS final score of 97.5814 out of 100, above the 83.1 national average, and filed 1,201 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

LACI DYKSTRA, ARNP at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/15/2014

NPI 1699176297

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

1,201 11% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

97.5814/100 14.481400000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Iowa

How Nurse Practitioner compares to other specialties among Iowa providers

Iowa providers

Nurse Practitioner share within Iowa

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Iowa

Medicare quality performance — MIPS

LACI DYKSTRA, ARNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
97.5814/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 97.5814/100 vs national avg 83.1

0%100%National avg83%97.6%
MIPS final score (Nurse Practitioner) — 97.5814/100 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).

LACI DYKSTRA, ARNP is a Nurse Practitioner provider practicing in PELLA, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: ARNP. NPI: 1699176297. 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.

LACI DYKSTRA, ARNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding ARNP credentials at 615 WASHINGTON ST, PELLA, IA, 50219, with a listed phone of (641) 628-2222. NPI 1699176297 was issued on 09/15/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DYKSTRA 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 1,201 prescription claims written by this provider, covering 124 Medicare beneficiaries and totaling roughly $103K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.0%. 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 97.5814/100 for the 2023 performance year (Quality 86.5348), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

615 WASHINGTON ST
PELLA, IA 50219

Provider Details

NPI 1699176297
Specialty Nurse Practitioner
Credentials ARNP
Gender Female
NPI Issued 09/15/2014

CMS Quality Score (MIPS)

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

97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where LACI DYKSTRA, ARNP 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.

KNOXVILLE COMMUNITY HOSPITAL INC
KNOXVILLE, IA

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

Brand vs generic prescribing mix · Typical

LACI DYKSTRA, ARNP — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 1,201 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.

1,201
Total Claims
$103K
Total Drug Cost
124
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,439
Total Day Supply
68,831
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$85K
Generic Drug Cost
$17K
Opioid Claims
12 (1.0% rate)
Antibiotic Claims
85

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
0.91
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
88
Omeprazole
67
Simvastatin
51
Lisinopril
47
Hydrochlorothiazide
45
Levothyroxine Sodium
39
Meloxicam
36
Losartan Potassium
35
Albuterol Sulfate Hfa
Albuterol Sulfate
33
Metformin Hcl
32

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

Nurse Practitioner Overview

How LACI DYKSTRA, ARNP fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

LACI DYKSTRA, ARNP's 1,201 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Iowa

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

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

Frequently Asked Questions

What is LACI DYKSTRA, ARNP's specialty?
LACI DYKSTRA, ARNP specializes in Nurse Practitioner and practices in PELLA, Iowa. Credentials: ARNP.
How much does LACI DYKSTRA, ARNP prescribe under Medicare Part D?
In 2023, LACI DYKSTRA, ARNP wrote 1,201 Medicare Part D claims totaling $103K in drug costs for 124 beneficiaries.
What is LACI DYKSTRA, ARNP's Medicare quality score?
LACI DYKSTRA, ARNP has a CMS MIPS Final Score of 97.5814/100 (Quality: 86.5348). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LACI DYKSTRA, ARNP located?
LACI DYKSTRA, ARNP is located at 615 WASHINGTON ST, PELLA, IA, 50219. Phone: (641) 628-2222.
What is LACI DYKSTRA, ARNP's NPI number?
LACI DYKSTRA, ARNP's National Provider Identifier (NPI) is 1699176297, issued on 09/15/2014.
Does LACI DYKSTRA, ARNP prescribe more brand-name or generic drugs?
LACI DYKSTRA, ARNP's prescribing is 12% brand-name and 88% generic drugs by claim count, with $85K in brand drug costs.
Does LACI DYKSTRA, ARNP prescribe opioids?
Yes, LACI DYKSTRA, ARNP had 12 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does LACI DYKSTRA, ARNP prescribe most often?
Based on 2023 Medicare Part D data, LACI DYKSTRA, ARNP's most frequently prescribed drugs include Atorvastatin Calcium, Omeprazole, Simvastatin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LACI DYKSTRA, ARNP accept Medicare?
LACI DYKSTRA, ARNP appears in CMS Medicare data with 1,201 Part D claims and 124 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LACI DYKSTRA, ARNP's credentials?
LACI DYKSTRA, ARNP's NPI is 1699176297 with credentials ARNP. 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