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2026 NPPES data Acute Care Nurse Practitioner NPI 1194455204 NP
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Larisa Kovaleva, NP

Acute Care Nurse Practitioner in Saint Louis, Missouri.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,345 in Acute 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
133
Medicare Part D claims · 43 beneficiaries · Acute Care Nurse Practitioner avg: 623
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.6/100
▼ 2 pts below national avg 83.5 · Above neutral
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Larisa Kovaleva, NP reported a CMS MIPS final score of 81.6/100 - below the 83.5 national average - and filed 133 Medicare Part D claims in 2024.

81.6/100
MIPS score · -2 vs avg
133
Part D claims, 2024
84%
generic prescribing
≥32nd
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 Larisa Kovaleva, NP

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 1194455204), first enumerated 06/13/2022.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 133 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 81.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • 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 1194455204 · Acute Care Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1194455204
  • ENUM-RECENT 2022
  • TAX-MID 25K Acute Care
  • MIPS-INLINE 81.6/100
  • RX-LIGHT 133
  • BOOK-THIN 421 in Missouri
  • PHOTO-FINISH Shelby Waalkes, AGAC… · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Larisa Kovaleva, NP'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.

82 ≥ 32nd percentile 32% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Larisa Kovaleva, NP sits

This provider among acute care nurse practitioner peers

Across the 3,830 acute care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Larisa Kovaleva, NP writes more Part D claims than 44% of them and scores higher on MIPS quality than 35% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 30Larisa Kovaleva, NP, Part D claim volume, percentile in specialty: 44 · MIPS quality, percentile: 35
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Larisa Kovaleva, NP?

Near national average

NPI registry status

Active

Issued 06/13/2022

NPI 1194455204

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

25,345 US NPIs in this specialty

Medicare Part D claims

133 79% vs specialty avg

2024 prescription claims

Specialty avg: 623

MIPS final score

81.6/100 1.9 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Missouri

How Acute Care Nurse Practitioner compares to other specialties among Missouri providers

Missouri providers
Professional Counselor4.8%Pharmacist4.8%Clinical Social Worker4.5%Speech-Language Pathologist4.5%Family Nurse Practitioner4.3%Physical Therapist4%Acute Care Nurse Practitioner0.4%
Largest specialties in Missouri (% of in-state providers)

Medicare quality performance, MIPS

Larisa Kovaleva, NP's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average

Near national average
MIPS Final Score
81.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%81.6%
MIPS final score (Acute Care Nurse Practitioner) - 81.6/100 vs national avg 83.5
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

1201 S GRAND BLVD
Saint Louis, MO 63104
(314) 257-8222

Provider Details

NPI 1194455204
Specialty Acute Care Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 06/13/2022

CMS Quality Score (MIPS)

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

81.5711
Final Score
Measured-score avg: 83.5
76.0913
Quality
54.2831
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Larisa Kovaleva, NP 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.

Ssm Health Care Group
Saint Louis, MO

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

Larisa Kovaleva, NP - brand share 16.0%
Acute Care Nurse Practitioner average

16% brand-name claims vs 84% generic, on 133 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.

133
Total Claims
$12K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
154.267
Total Day Supply
3,807
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$11K
Generic Drug Cost
$1K
Antibiotic Claims
16

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
3.55
Gender Split
49% female / 51% male
More Acute Care Nurse Practitioner in MO → All providers in Missouri → Compare specialties →

Acute Care Nurse Practitioner Overview

How Larisa Kovaleva, NP fits within the Acute Care Nurse Practitioner landscape nationally.

25,345
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
623
Avg Claims per Provider

Larisa Kovaleva, NP's 133 claims are below the specialty average of 623.

Nationwide Acute Care Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Kovaleva, both outside Missouri so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (81.6 here).

Danielle Brannon 81.5 PA Judith Wiehl 81.5 CT Shelby Waalkes 81.6 FL Laura Senska 81.6 NY

Same NPPES enumeration year (2022)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Amandeep Ragsdale Indianapolis, IN Kassandra Munivez Harlingen, TX Olexiy Gonchar Columbus, OH Courtney Pace Tulsa, OK

Nearby Acute Care Nurse Practitioner Providers in Missouri

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

One of 421 Acute Care Nurse Practitioner providers enrolled in Missouri, 5 are shown here.

Alivia Acklin
AG-ACNP
West Plains, MO
Michelle Adorjan
ACNP
Saint Louis, MO
Timothy Adrian
APRN
Saint Louis, MO
Jennifer Aiken
FNP-BC
Independence, MO
Hana Alul
NP
St Louis, MO

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

Frequently Asked Questions

What is Larisa Kovaleva, NP's specialty? ▼
Larisa Kovaleva, NP specializes in Acute Care Nurse Practitioner and practices in Saint Louis, Missouri. Credentials: NP.
How much does Larisa Kovaleva, NP prescribe under Medicare Part D? ▼
In 2024, Larisa Kovaleva, NP wrote 133 Medicare Part D claims totaling $12K in drug costs for 43 beneficiaries.
What is Larisa Kovaleva, NP's Medicare quality score? ▼
Larisa Kovaleva, NP has a CMS MIPS Final Score of 81.6/100 (Quality: 76.1, Cost: 54.3). 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 Larisa Kovaleva, NP located? ▼
Larisa Kovaleva, NP is located at 1201 S GRAND BLVD, Saint Louis, MO, 63104. Phone: (314) 257-8222.
What is Larisa Kovaleva, NP's NPI number? ▼
Larisa Kovaleva, NP's National Provider Identifier (NPI) is 1194455204, issued on 06/13/2022.
Does Larisa Kovaleva, NP prescribe more brand-name or generic drugs? ▼
Larisa Kovaleva, NP's prescribing is 16% brand-name and 84% generic drugs by claim count, with $11K in brand drug costs.
How many Acute Care Nurse Practitioner providers are there in the US? ▼
There are 25,345 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 623 Medicare Part D claims per year.
Does Larisa Kovaleva, NP accept Medicare? ▼
Larisa Kovaleva, NP appears in CMS Medicare data with 133 Part D claims and 43 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Larisa Kovaleva, NP's credentials? ▼
Larisa Kovaleva, NP's NPI is 1194455204 with credentials NP. 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

Compiled from official public sources by the editorial process.

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.