2026 NPPES data Clinical Nurse Specialist NPI 1689691115 FNP
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MARGARET WALLACE, FNP

Clinical Nurse Specialist in CREVE COEUR, Missouri. 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
701
Medicare Part D claims · 256 beneficiaries · Clinical Nurse Specialist avg: 953
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.292/100
▼ 4 pts below national avg 83.1 · [object Object]
What the federal data reveals: MARGARET WALLACE, FNP is a Clinical Nurse Specialist ([object Object]) practicing in CREVE COEUR, Missouri with a Medicare Part D prescribing footprint of 701 claims across 256 beneficiaries — 5% brand-name prescribing . Their CMS MIPS Final Score of 79.292/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MARGARET WALLACE, FNP reported a CMS MIPS final score of 79.292 out of 100, below the 83.1 national average, and filed 701 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MARGARET WALLACE, FNP at a glance

Near national average

NPI registry status

Active

Issued 07/17/2006

NPI 1689691115

Primary specialty

Clinical Nurse Specialist

Niche

1,708 US NPIs in this specialty

Medicare Part D claims

701 26% vs specialty avg

2023 prescription claims

Specialty avg: 953

MIPS final score

79.292/100 3.8079999999999927% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Clinical Nurse Specialist compares to other specialties among Missouri providers

Missouri providers

Clinical Nurse Specialist share within Missouri

1. Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Nurse Specialist share within Missouri

Medicare quality performance — MIPS

MARGARET WALLACE, FNP's 2023 MIPS final score plotted against the Clinical Nurse Specialist national average

Near national average
MIPS Final Score
79.292/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Nurse Specialist) — 79.292/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Clinical Nurse Specialist) — 79.292/100 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).

MARGARET WALLACE, FNP is a Clinical Nurse Specialist provider practicing in CREVE COEUR, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: FNP. NPI: 1689691115. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARGARET WALLACE, FNP appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding FNP credentials at 1044 N MASON RD, CREVE COEUR, MO, 63141, with a listed phone of (314) 362-7509. NPI 1689691115 was issued on 07/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WALLACE 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 701 prescription claims written by this provider, covering 256 Medicare beneficiaries and totaling roughly $23K in drug spend, split 5% brand-name and 95% 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 79.292/100 for the 2023 performance year (Quality 71.46, Cost 59.5132), compared with the national average of 83.1.

Clinical Nurse Specialist is a narrow specialty nationwide, with 1,708 enrolled providers across 49 states and an average of 953 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

1044 N MASON RD
CREVE COEUR, MO 63141

Provider Details

NPI 1689691115
Specialty Clinical Nurse Specialist
Credentials FNP
Gender Female
NPI Issued 07/17/2006

CMS Quality Score (MIPS)

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

79.292
Final Score
Avg: 83.1
71.46
Quality
59.5132
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARGARET WALLACE, FNP 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.

WASHINGTON UNIVERSITY
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 · Generic-heavy

MARGARET WALLACE, FNP — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 701 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.

701
Total Claims
$23K
Total Drug Cost
256
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
985
Total Day Supply
23,120
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$7K
Generic Drug Cost
$17K
Antibiotic Claims
94

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.50
Gender Split
70% female / 30% male
Age Distribution
<65: 35, 65-74: 108, 75-84: 78, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Fluticasone Propionate
142
Fluocinolone Acetonide Oil
68
Montelukast Sodium
58
Azelastine Hcl
49
Ofloxacin
45
Ipratropium Bromide
39
Methylprednisolone
39
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
32
Azithromycin
32
Ciprofloxacin-Dexamethasone
Ciprofloxacin Hcl/Dexameth
25

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

Clinical Nurse Specialist Overview

How MARGARET WALLACE, FNP fits within the Clinical Nurse Specialist landscape nationally.

1,708
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider

MARGARET WALLACE, FNP's 701 claims are below the specialty average of 953.

Nearby Clinical Nurse Specialist Providers in Missouri

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

Compare Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARGARET WALLACE, FNP's specialty?
MARGARET WALLACE, FNP specializes in Clinical Nurse Specialist and practices in CREVE COEUR, Missouri. Credentials: FNP.
How much does MARGARET WALLACE, FNP prescribe under Medicare Part D?
In 2023, MARGARET WALLACE, FNP wrote 701 Medicare Part D claims totaling $23K in drug costs for 256 beneficiaries.
What is MARGARET WALLACE, FNP's Medicare quality score?
MARGARET WALLACE, FNP has a CMS MIPS Final Score of 79.292/100 (Quality: 71.46, Cost: 59.5132). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARGARET WALLACE, FNP located?
MARGARET WALLACE, FNP is located at 1044 N MASON RD, CREVE COEUR, MO, 63141. Phone: (314) 362-7509.
What is MARGARET WALLACE, FNP's NPI number?
MARGARET WALLACE, FNP's National Provider Identifier (NPI) is 1689691115, issued on 07/17/2006.
Does MARGARET WALLACE, FNP prescribe more brand-name or generic drugs?
MARGARET WALLACE, FNP's prescribing is 5% brand-name and 95% generic drugs by claim count, with $7K in brand drug costs.
How many Clinical Nurse Specialist providers are there in the US?
There are 1,708 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does MARGARET WALLACE, FNP prescribe most often?
Based on 2023 Medicare Part D data, MARGARET WALLACE, FNP's most frequently prescribed drugs include Fluticasone Propionate, Fluocinolone Acetonide Oil, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARGARET WALLACE, FNP accept Medicare?
MARGARET WALLACE, FNP appears in CMS Medicare data with 701 Part D claims and 256 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARGARET WALLACE, FNP's credentials?
MARGARET WALLACE, FNP's NPI is 1689691115 with credentials FNP. 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