2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1639407471 APN
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LAURA HOLT, APN

Psychiatric/Mental Health Nurse Practitioner in MADISON, Tennessee. 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
588
Medicare Part D claims · 11 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.4435/100
▲ 13 pts above national avg 83.1 · [object Object]

What the federal data shows

LAURA HOLT, APN reported a CMS MIPS final score of 96.4435/100 — above the 83.1 national average — and filed 588 Medicare Part D claims in 2023.

96.4435/100
MIPS score · +13 vs avg
588
Part D claims, 2023
77%
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.

LAURA HOLT, APN's MIPS score vs every scored U.S. clinician

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

96 Top 17% higher than 83% 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. 90–100: 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

What does the federal data show about LAURA HOLT, APN?

High performer (top quartile)

NPI registry status

Active

Issued 12/04/2009

NPI 1639407471

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

39,953 US NPIs in this specialty

Medicare Part D claims

588 37% vs specialty avg

2023 prescription claims

Specialty avg: 927

MIPS final score

96.4435/100 13.343500000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Psychiatric/Mental Health Nurse Practitioner share within Tennessee

1. Psychiatric/Mental Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Nurse Practitioner share within Tennessee

Medicare quality performance — MIPS

LAURA HOLT, APN's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
96.4435/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 96.4435/100 vs national avg 83.1

0%100%National avg83%96.4%
MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 96.4435/100 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).

LAURA HOLT, APN appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider holding APN credentials at 510 HOSPITAL DR STE 260, MADISON, TN, 37115, with a listed phone of (615) 859-9902. NPI 1639407471 was issued on 12/04/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HOLT 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 588 prescription claims written by this provider, covering 11 Medicare beneficiaries and totaling roughly $17K in drug spend, split 23% brand-name and 77% generic by claim count. 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 96.4435/100 for the 2023 performance year (Quality 82.8869), compared with the national average of 83.1.

Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 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

510 HOSPITAL DR STE 260
MADISON, TN 37115

Provider Details

NPI 1639407471
Specialty Psychiatric/Mental Health Nurse Practitioner
Credentials APN
Gender Female
NPI Issued 12/04/2009

CMS Quality Score (MIPS)

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

96.4435
Final Score
Avg: 83.1
82.8869
Quality

Reporting: Group practice

Brand vs generic prescribing mix · Typical

LAURA HOLT, APN — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 588 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.

588
Total Claims
$17K
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
589
Total Day Supply
6,042
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$9K
Generic Drug Cost
$8K
Antibiotic Claims
18

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
1.96

Top Prescribed Drugs (Medicare Part D)

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

What LAURA HOLT, APN 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
Levothyroxine Sodium
51
Pantoprazole Sodium
45
Tizanidine Hcl
43
Carvedilol
42
Diltiazem 24hr Er
Diltiazem Hcl
42
Eliquis
Apixaban
42
Furosemide
42
Memantine Hcl
42
Potassium Chloride
42
Olanzapine Odt
Olanzapine
40

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

Psychiatric/Mental Health Nurse Practitioner Overview

How LAURA HOLT, APN fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.

39,953
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider

LAURA HOLT, APN's 588 claims are below the specialty average of 927.

Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Tennessee

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

Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is LAURA HOLT, APN's specialty?
LAURA HOLT, APN specializes in Psychiatric/Mental Health Nurse Practitioner and practices in MADISON, Tennessee. Credentials: APN.
How much does LAURA HOLT, APN prescribe under Medicare Part D?
In 2023, LAURA HOLT, APN wrote 588 Medicare Part D claims totaling $17K in drug costs for 11 beneficiaries.
What is LAURA HOLT, APN's Medicare quality score?
LAURA HOLT, APN has a CMS MIPS Final Score of 96.4435/100 (Quality: 82.8869). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LAURA HOLT, APN located?
LAURA HOLT, APN is located at 510 HOSPITAL DR STE 260, MADISON, TN, 37115. Phone: (615) 859-9902.
What is LAURA HOLT, APN's NPI number?
LAURA HOLT, APN's National Provider Identifier (NPI) is 1639407471, issued on 12/04/2009.
Does LAURA HOLT, APN prescribe more brand-name or generic drugs?
LAURA HOLT, APN's prescribing is 23% brand-name and 77% generic drugs by claim count, with $9K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US?
There are 39,953 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does LAURA HOLT, APN prescribe most often?
Based on 2023 Medicare Part D data, LAURA HOLT, APN's most frequently prescribed drugs include Levothyroxine Sodium, Pantoprazole Sodium, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LAURA HOLT, APN accept Medicare?
LAURA HOLT, APN appears in CMS Medicare data with 588 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LAURA HOLT, APN's credentials?
LAURA HOLT, APN's NPI is 1639407471 with credentials APN. 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