2026 NPPES data Nurse Practitioner NPI 1396722559 ARNP
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LORI EDMONDS, ARNP

Nurse Practitioner in LOUISVILLE, Kentucky. 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
92
Medicare Part D claims · 73 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
76.7023/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$397.08
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LORI EDMONDS, ARNP reported a CMS MIPS final score of 76.7023/100 — below the 83.1 national average — and filed 92 Medicare Part D claims in 2023.

76.7023/100
MIPS score · -6 vs avg
92
Part D claims, 2023
$397.08
industry payments (Sunshine Act)

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.

LORI EDMONDS, ARNP's MIPS score vs every scored U.S. clinician

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

77 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 LORI EDMONDS, ARNP?

Below national average

NPI registry status

Active

Issued 12/29/2005

NPI 1396722559

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

92 92% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

76.7023/100 6.3977% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Nurse Practitioner compares to other specialties among Kentucky providers

Kentucky providers

Nurse Practitioner share within Kentucky

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

Medicare quality performance — MIPS

LORI EDMONDS, ARNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
76.7023/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 76.7023/100 vs national avg 83.1

0%100%National avg83%76.7%
MIPS final score (Nurse Practitioner) — 76.7023/100 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).

LORI EDMONDS, ARNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding ARNP credentials at 4130 DUTCHMANS LN, LOUISVILLE, KY, 40207, with a listed phone of (502) 897-1794. NPI 1396722559 was issued on 12/29/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EDMONDS 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 92 prescription claims written by this provider, covering 73 Medicare beneficiaries and totaling roughly $882 in drug spend, with an opioid prescribing rate of 32.6%. 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 76.7023/100 for the 2023 performance year (Quality 61.4587), 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

4130 DUTCHMANS LN
LOUISVILLE, KY 40207

Provider Details

NPI 1396722559
Specialty Nurse Practitioner
Credentials ARNP
Gender Female
NPI Issued 12/29/2005

CMS Quality Score (MIPS)

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

76.7023
Final Score
Avg: 83.1
61.4587
Quality
93
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where LORI EDMONDS, 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.

BAPTIST HEALTH MEDICAL GROUP INC
NEW ALBANY, IN
PT PROS, INC
LEITCHFIELD, KY

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for LORI EDMONDS, ARNP. Source: openpaymentsdata.cms.gov.

Total received

$397

Largest payer

TREACE MEDICAL CONCEPTS, INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

92
Total Claims
$882
Total Drug Cost
73
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
92
Total Day Supply
914
Generic Drug Cost
$841
Opioid Claims
30 (32.6% rate)
Antibiotic Claims
16

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.00
Gender Split
73% female / 27% male

Top Prescribed Drugs (Medicare Part D)

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

What LORI EDMONDS, 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
Methylprednisolone
24
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
16
Meloxicam
16
Cephalexin
13

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

Nurse Practitioner Overview

How LORI EDMONDS, 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

LORI EDMONDS, ARNP's 92 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Kentucky

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

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

Frequently Asked Questions

What is LORI EDMONDS, ARNP's specialty?
LORI EDMONDS, ARNP specializes in Nurse Practitioner and practices in LOUISVILLE, Kentucky. Credentials: ARNP.
How much does LORI EDMONDS, ARNP prescribe under Medicare Part D?
In 2023, LORI EDMONDS, ARNP wrote 92 Medicare Part D claims totaling $882 in drug costs for 73 beneficiaries.
What is LORI EDMONDS, ARNP's Medicare quality score?
LORI EDMONDS, ARNP has a CMS MIPS Final Score of 76.7023/100 (Quality: 61.4587). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LORI EDMONDS, ARNP located?
LORI EDMONDS, ARNP is located at 4130 DUTCHMANS LN, LOUISVILLE, KY, 40207. Phone: (502) 897-1794.
What is LORI EDMONDS, ARNP's NPI number?
LORI EDMONDS, ARNP's National Provider Identifier (NPI) is 1396722559, issued on 12/29/2005.
Does LORI EDMONDS, ARNP prescribe opioids?
Yes, LORI EDMONDS, ARNP had 30 opioid claims in 2023 with an opioid prescribing rate of 32.6%.
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 LORI EDMONDS, ARNP prescribe most often?
Based on 2023 Medicare Part D data, LORI EDMONDS, ARNP's most frequently prescribed drugs include Methylprednisolone, Hydrocodone-Acetaminophen, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LORI EDMONDS, ARNP accept Medicare?
LORI EDMONDS, ARNP appears in CMS Medicare data with 92 Part D claims and 73 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LORI EDMONDS, ARNP's credentials?
LORI EDMONDS, ARNP's NPI is 1396722559 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