NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1215665534
Verify on CMS → Marie Merchant
Family Nurse Practitioner in Sioux Falls, South Dakota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family 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
706
Medicare Part D claims · 285 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.7/100
▼ 6 pts below national avg 83.1 · Above neutral
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
Marie Merchant reported a CMS MIPS final score of 76.7/100 - below the 83.1 national average - and filed 706 Medicare Part D claims in 2023.
- 76.7/100
- MIPS score · -6 vs avg
- 706
- Part D claims, 2023
- 95%
- 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.
Marie Merchant'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
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
Where Marie Merchant sits
This provider among family nurse practitioner peers
Across the 27,154 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Marie Merchant writes more Part D claims than 61% of them and scores higher on MIPS quality than 19% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Marie Merchant. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Marie Merchant?
Below national averagePrimary specialty
Family Nurse Practitioner
Medicare Part D claims
706 42% vs specialty avg
MIPS final score
76.7/100 6.4 pts vs avg
Specialty distribution in South Dakota
How Family Nurse Practitioner compares to other specialties among South Dakota providers
Medicare quality performance, MIPS
Marie Merchant's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 76.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Nurse Practitioner) - 76.7/100 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).
Marie Merchant appears in the CMS NPPES registry as a Family Nurse Practitioner provider at 1210 W 18TH ST STE G01, Sioux Falls, SD, 57104, with a listed phone of (605) 328-2663. NPI 1215665534 was issued on 08/14/2022.
Medicare Part D records for calendar year 2023 show 706 prescription claims written by this provider, covering 285 Medicare beneficiaries and totaling roughly $23K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 73.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.7/100 for the 2023 performance year (Quality 78.6, Cost 44.6), compared with the national average of 83.1.
Family Nurse Practitioner is a high-volume specialty nationwide, with 210,832 enrolled providers across 56 states and an average of 1,222 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 | 1215665534 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Gender | Female |
| NPI Issued | 08/14/2022 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.6912
Final Score
Avg: 83.1
78.5693
Quality
44.5681
Cost
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Marie Merchant 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.
Sanford Medical Center
Sioux Falls, SD
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
Marie Merchant - brand share 5.0%
Family Nurse Practitioner average
5% brand-name claims vs 95% generic, on 706 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.
706
Total Claims
$23K
Total Drug Cost
285
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 715
- Total Day Supply
- 5,122
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $19K
- Generic Drug Cost
- $4K
- Opioid Claims
- 521 (73.8% rate)
- Antibiotic Claims
- 35
Patient Demographics
- Average Patient Age
- 72.1 years
- Avg HCC Risk Score
- 0.95
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 21, 65-74: 170, 75-84: 80, 85+: 14
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Marie Merchant prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tramadol Hcl
Tramadol Hcl
249 claims
- Oxycodone Hcl
Oxycodone Hcl
237 claims
- Gabapentin 60
Gabapentin
60 claims
- Hydrocodone-Acetam… 33
Hydrocodone-Acetaminophen
33 claims
- Doxycycline Hyclate 23
Doxycycline Hyclate
23 claims
- Eliquis 21
Eliquis
21 claims
- Meloxicam 19
Meloxicam
19 claims
- Ondansetron Odt 16
Ondansetron Odt
16 claims
| Drug | Claims |
|---|---|
| Tramadol Hcl | 249 |
| Oxycodone Hcl | 237 |
| Gabapentin | 60 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 33 |
| Doxycycline Hyclate | 23 |
| Eliquis Apixaban | 21 |
| Meloxicam | 19 |
| Ondansetron Odt Ondansetron | 16 |
| Xarelto Rivaroxaban | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Marie Merchant fits within the Family Nurse Practitioner landscape nationally.
210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider
Marie Merchant's 706 claims are below the specialty average of 1,222.
Nearby Family Nurse Practitioner Providers in South Dakota
Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as Merchant.
Dr. Carletta Aberle
CNP
McLaughlin, SD
Dr. Michelle Abraham
CNP
Sioux Falls, SD
Dr. Kayla Adamek
NP
Sioux Falls, SD
Dr. Kathryn Adams
CNP
Sioux Falls, SD
Julia Adee
Brookings, SD
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
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 South Dakota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Nurse Practitioner 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Explore South Dakota
Frequently Asked Questions
What is Marie Merchant's specialty? ▼
Marie Merchant specializes in Family Nurse Practitioner and practices in Sioux Falls, South Dakota.
How much does Marie Merchant prescribe under Medicare Part D? ▼
In 2023, Marie Merchant wrote 706 Medicare Part D claims totaling $23K in drug costs for 285 beneficiaries.
What is Marie Merchant's Medicare quality score? ▼
Marie Merchant has a CMS MIPS Final Score of 76.7/100 (Quality: 78.6, Cost: 44.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Marie Merchant located? ▼
Marie Merchant is located at 1210 W 18TH ST STE G01, Sioux Falls, SD, 57104. Phone: (605) 328-2663.
What is Marie Merchant's NPI number? ▼
Marie Merchant's National Provider Identifier (NPI) is 1215665534, issued on 08/14/2022.
Does Marie Merchant prescribe more brand-name or generic drugs? ▼
Marie Merchant's prescribing is 5% brand-name and 95% generic drugs by claim count, with $19K in brand drug costs.
Does Marie Merchant prescribe opioids? ▼
Yes, Marie Merchant had 521 opioid claims in 2023 with an opioid prescribing rate of 73.8%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 210,832 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Marie Merchant prescribe most often? ▼
Based on 2023 Medicare Part D data, Marie Merchant's most frequently prescribed drugs include Tramadol Hcl, Oxycodone Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Marie Merchant accept Medicare? ▼
Marie Merchant appears in CMS Medicare data with 706 Part D claims and 285 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Marie Merchant's credentials? ▼
Marie Merchant's NPI is 1215665534. 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.