2026 NPPES data Nurse Practitioner NPI 1538578125 ARNP
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Lacy Halsrud, ARNP

Nurse Practitioner in Wesley, Iowa.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,700 in 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
5K
Medicare Part D claims · 249 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.6/100
▲ 14 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Lacy Halsrud, ARNP reported a CMS MIPS final score of 97.6/100 - above the 83.1 national average - and filed 4,926 Medicare Part D claims in 2023.

97.6/100
MIPS score · +14 vs avg
5K
Part D claims, 2023
87%
generic prescribing

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.

Lacy Halsrud, ARNP's MIPS score vs every scored U.S. clinician

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

98 Top 15% higher than 85% 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%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. 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 Lacy Halsrud, ARNP sits

This provider among nurse practitioner peers

Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Lacy Halsrud, ARNP writes more Part D claims than 96% of them and scores higher on MIPS quality than 87% - placing this provider in the high-volume, high-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 quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 43Lacy Halsrud, ARNP-Part D claim volume, percentile in specialty: 96 · MIPS quality, percentile: 87
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Lacy Halsrud, ARNP?

High performer (top quartile)

NPI registry status

Active

Issued 08/07/2014

NPI 1538578125

Primary specialty

Nurse Practitioner

High-volume

87,700 US NPIs in this specialty

Medicare Part D claims

4,926 354% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

97.6/100 14.5 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Iowa

How Nurse Practitioner compares to other specialties among Iowa providers

Iowa providers
Pharmacist - 6.6%Pharmacist6.6%Physical Therapist - 5.5%Physical Therapist5.5%Mental Health Counselor - 5%Mental Health Counselor5%Family Medicine Physician - 4.8%Family Medicine Physician4.8%Chiropractor - 4.2%Chiropractor4.2%Clinical Social Worker - 4.1%Clinical Social Worker4.1%Nurse Practitioner - 2.5%Nurse Practitioner2.5%
Largest specialties in Iowa (% of in-state providers)

Medicare quality performance, MIPS

Lacy Halsrud, ARNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
97.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) - 97.6/100 vs national avg 83.1

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

Lacy Halsrud, ARNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding ARNP credentials at 103 MAIN ST E, Wesley, IA, 50483, with a listed phone of (641) 843-5050. NPI 1538578125 was issued on 08/07/2014.

Medicare Part D records for calendar year 2023 show 4,926 prescription claims written by this provider, covering 249 Medicare beneficiaries and totaling roughly $332K in drug spend, split 12% brand-name and 87% generic by claim count, with an opioid prescribing rate of 3.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.6/100 for the 2023 performance year (Quality 86.5), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,700 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

103 MAIN ST E
Wesley, IA 50483

Provider Details

NPI 1538578125
Specialty Nurse Practitioner
Credentials ARNP
Gender Female
NPI Issued 08/07/2014

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 Lacy Halsrud, 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.

Trinity Regional Medical Center
★★☆☆☆ 2/5
Fort Dodge, IA
Acute Care Hospitals
CMS CCN: 160016
Iowa Physicians Clinic Medical Foundation
Humboldt, 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

Lacy Halsrud, ARNP - brand share 12.0%
Nurse Practitioner average

12% brand-name claims vs 87% generic, on 4,926 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.

4,926
Total Claims
$332K
Total Drug Cost
249
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,410
Total Day Supply
237,137
Brand vs Generic
12% brand / 87% generic
Brand Drug Cost
$234K
Generic Drug Cost
$96K
Opioid Claims
154 (3.1% rate)
Antibiotic Claims
178

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.03
Gender Split
62% female / 38% male
Age Distribution
<65: 16, 65-74: 106, 75-84: 80, 85+: 47

Top Prescribed Drugs (Medicare Part D)

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

What Lacy Halsrud, ARNP 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
Atorvastatin Calcium
252
Lisinopril
240
Levothyroxine Sodium
191
Omeprazole
143
Sertraline Hcl
133
Losartan Potassium
119
Simvastatin
117
Furosemide
115
Potassium Chloride
109
Rosuvastatin Calcium
100

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

Nurse Practitioner Overview

How Lacy Halsrud, ARNP fits within the Nurse Practitioner landscape nationally.

87,700
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

Lacy Halsrud, ARNP's 4,926 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 Halsrud.

Compare 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 Iowa medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby 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 Lacy Halsrud, ARNP's specialty?
Lacy Halsrud, ARNP specializes in Nurse Practitioner and practices in Wesley, Iowa. Credentials: ARNP.
How much does Lacy Halsrud, ARNP prescribe under Medicare Part D?
In 2023, Lacy Halsrud, ARNP wrote 4,926 Medicare Part D claims totaling $332K in drug costs for 249 beneficiaries.
What is Lacy Halsrud, ARNP's Medicare quality score?
Lacy Halsrud, ARNP has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Lacy Halsrud, ARNP located?
Lacy Halsrud, ARNP is located at 103 MAIN ST E, Wesley, IA, 50483. Phone: (641) 843-5050.
What is Lacy Halsrud, ARNP's NPI number?
Lacy Halsrud, ARNP's National Provider Identifier (NPI) is 1538578125, issued on 08/07/2014.
Does Lacy Halsrud, ARNP prescribe more brand-name or generic drugs?
Lacy Halsrud, ARNP's prescribing is 12% brand-name and 87% generic drugs by claim count, with $234K in brand drug costs.
Does Lacy Halsrud, ARNP prescribe opioids?
Yes, Lacy Halsrud, ARNP had 154 opioid claims in 2023 with an opioid prescribing rate of 3.1%.
How many Nurse Practitioner providers are there in the US?
There are 87,700 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 Lacy Halsrud, ARNP prescribe most often?
Based on 2023 Medicare Part D data, Lacy Halsrud, ARNP's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lacy Halsrud, ARNP accept Medicare?
Lacy Halsrud, ARNP appears in CMS Medicare data with 4,926 Part D claims and 249 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lacy Halsrud, ARNP's credentials?
Lacy Halsrud, ARNP's NPI is 1538578125 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

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.