NPI registry status
Active
2026 NPPES data Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist NPI 1215019039 MSN, RN PMHNP-BC
Verify on CMS → Lois Hughes, MSN, RN PMHNP-BC
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Indianapolis, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 233 in Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist, 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
2K
Medicare Part D claims · 126 beneficiaries · Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist avg: 722
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.5/100
▲ 8 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Lois Hughes, MSN, RN PMHNP-BC reported a CMS MIPS final score of 91.5/100 - above the 83.1 national average - and filed 1,924 Medicare Part D claims in 2023.
- 91.5/100
- MIPS score · +8 vs avg
- 2K
- Part D claims, 2023
- 90%
- 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.
Lois Hughes, MSN, RN PMHNP-BC's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
92 Top 37% higher than 63% of 477,587 scored providers
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 Lois Hughes, MSN, RN PMHNP-BC?
High performer (top quartile)Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Medicare Part D claims
1,924 166% vs specialty avg
MIPS final score
91.5/100 8.4 pts vs avg
Specialty distribution in Indiana
How Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among Indiana providers
Medicare quality performance, MIPS
Lois Hughes, MSN, RN PMHNP-BC's 2023 MIPS final score plotted against the Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist national average
- MIPS Final Score
- 91.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist) - 91.5/100 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).
Lois Hughes, MSN, RN PMHNP-BC appears in the CMS NPPES registry as a Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist provider holding MSN, RN PMHNP-BC credentials at 5515 W 38TH ST, Indianapolis, IN, 46254, with a listed phone of (317) 880-3838. NPI 1215019039 was issued on 10/20/2006.
Medicare Part D records for calendar year 2023 show 1,924 prescription claims written by this provider, covering 126 Medicare beneficiaries and totaling roughly $533K in drug spend, split 10% brand-name and 90% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.5/100 for the 2023 performance year (Quality 98.8, Cost 46.2), compared with the national average of 83.1.
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist is a narrow specialty nationwide, with 233 enrolled providers across 44 states and an average of 722 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
Provider Details
| NPI | 1215019039 |
|---|---|
| Specialty | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
| Credentials | MSN, RN PMHNP-BC |
| Gender | Female |
| NPI Issued | 10/20/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.4933
Final Score
Avg: 83.1
98.8482
Quality
46.203
Cost
97
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Lois Hughes, MSN, RN PMHNP-BC 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.
Midwest Behavioral Health LLC
Indianapolis, IN
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
Lois Hughes, MSN, RN PMHNP-BC - brand share 10.0%
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist average
10% brand-name claims vs 90% generic, on 1,924 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.
1,924
Total Claims
$533K
Total Drug Cost
126
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,025
- Total Day Supply
- 88,876
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $420K
- Generic Drug Cost
- $113K
Patient Demographics
- Average Patient Age
- 56.4 years
- Avg HCC Risk Score
- 1.40
- Gender Split
- 74% female / 26% male
- Age Distribution
- <65: 83, 65-74: 38, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Lois Hughes, MSN, RN PMHNP-BC prescribes most
Top Medicare Part D drugs by claim count, 2023
- Venlafaxine Hcl Er
Venlafaxine Hcl Er
141 claims
- Aripiprazole
Aripiprazole
105 claims
- Trazodone Hcl
Trazodone Hcl
96 claims
- Mirtazapine
Mirtazapine
95 claims
- Hydroxyzine Hcl
Hydroxyzine Hcl
92 claims
- Dextroamphetamine-…
Dextroamphetamine-Amphetamine
90 claims
- Bupropion Xl
Bupropion Xl
85 claims
- Duloxetine Hcl
Duloxetine Hcl
68 claims
| Drug | Claims |
|---|---|
| Venlafaxine Hcl Er Venlafaxine Hcl | 141 |
| Aripiprazole | 105 |
| Trazodone Hcl | 96 |
| Mirtazapine | 95 |
| Hydroxyzine Hcl | 92 |
| Dextroamphetamine-Amphetamine Dextroamphetamine/Amphetamine | 90 |
| Bupropion Xl Bupropion Hcl | 85 |
| Duloxetine Hcl | 68 |
| Buspirone Hcl | 60 |
| Lamotrigine | 57 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in IN →
All providers in Indiana →
Compare specialties →
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Overview
How Lois Hughes, MSN, RN PMHNP-BC fits within the Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist landscape nationally.
233
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Providers in US
44
States with Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
722
Avg Claims per Provider
Lois Hughes, MSN, RN PMHNP-BC's 1,924 claims are above the specialty average of 722.
Nearby Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Hughes.
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 Indiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 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.
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Frequently Asked Questions
What is Lois Hughes, MSN, RN PMHNP-BC's specialty? ▼
Lois Hughes, MSN, RN PMHNP-BC specializes in Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist and practices in Indianapolis, Indiana. Credentials: MSN, RN PMHNP-BC.
How much does Lois Hughes, MSN, RN PMHNP-BC prescribe under Medicare Part D? ▼
In 2023, Lois Hughes, MSN, RN PMHNP-BC wrote 1,924 Medicare Part D claims totaling $533K in drug costs for 126 beneficiaries.
What is Lois Hughes, MSN, RN PMHNP-BC's Medicare quality score? ▼
Lois Hughes, MSN, RN PMHNP-BC has a CMS MIPS Final Score of 91.5/100 (Quality: 98.8, Cost: 46.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Lois Hughes, MSN, RN PMHNP-BC located? ▼
Lois Hughes, MSN, RN PMHNP-BC is located at 5515 W 38TH ST, Indianapolis, IN, 46254. Phone: (317) 880-3838.
What is Lois Hughes, MSN, RN PMHNP-BC's NPI number? ▼
Lois Hughes, MSN, RN PMHNP-BC's National Provider Identifier (NPI) is 1215019039, issued on 10/20/2006.
Does Lois Hughes, MSN, RN PMHNP-BC prescribe more brand-name or generic drugs? ▼
Lois Hughes, MSN, RN PMHNP-BC's prescribing is 10% brand-name and 90% generic drugs by claim count, with $420K in brand drug costs.
How many Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist providers are there in the US? ▼
There are 233 Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist providers across 44 states in the US. The average Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist provider writes 722 Medicare Part D claims per year.
What drugs does Lois Hughes, MSN, RN PMHNP-BC prescribe most often? ▼
Based on 2023 Medicare Part D data, Lois Hughes, MSN, RN PMHNP-BC's most frequently prescribed drugs include Venlafaxine Hcl Er, Aripiprazole, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lois Hughes, MSN, RN PMHNP-BC accept Medicare? ▼
Lois Hughes, MSN, RN PMHNP-BC appears in CMS Medicare data with 1,924 Part D claims and 126 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lois Hughes, MSN, RN PMHNP-BC's credentials? ▼
Lois Hughes, MSN, RN PMHNP-BC's NPI is 1215019039 with credentials MSN, RN PMHNP-BC. 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.