2026 NPPES data Critical Care Medicine Nurse Practitioner NPI 1821523945 AG-ACNP
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Megan Gosnell, AG-ACNP

Critical Care Medicine Nurse Practitioner in Richmond, Virginia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,414 in Critical Care Medicine 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
228
Medicare Part D claims · 90 beneficiaries · Critical Care Medicine Nurse Practitioner avg: 426
MIPS score
76.2/100
▼ 7 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Megan Gosnell, AG-ACNP reported a CMS MIPS final score of 76.2/100 - below the 83.1 national average - and filed 228 Medicare Part D claims in 2023.

76.2/100
MIPS score · -7 vs avg
228
Part D claims, 2023

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.

Megan Gosnell, AG-ACNP's MIPS score vs every scored U.S. clinician

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

76 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+: 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

Where Megan Gosnell, AG-ACNP sits

This provider among critical care medicine nurse practitioner peers

Across the 135 critical care medicine nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Megan Gosnell, AG-ACNP writes more Part D claims than 65% of them and scores higher on MIPS quality than 18% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 18Megan Gosnell, AG-ACNP-Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 18
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one critical care medicine nurse practitioner peer from a representative sample of 60; the gold marker is Megan Gosnell, AG-ACNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Megan Gosnell, AG-ACNP?

Below national average

NPI registry status

Active

Issued 04/26/2017

NPI 1821523945

Primary specialty

Critical Care Medicine Nurse Practitioner

Niche

1,414 US NPIs in this specialty

Medicare Part D claims

228 46% vs specialty avg

2023 prescription claims

Specialty avg: 426

MIPS final score

76.2/100 6.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Critical Care Medicine Nurse Practitioner compares to other specialties among Virginia providers

Virginia providers
Behavior Technician - 5.2%Behavior Technician5.2%Clinical Social Worker - 5.1%Clinical Social Worker5.1%Student in an Organized Health Care Education/Training Program - 4.7%Student in an Organized Health Care Education/Training Program4.7%Physical Therapist - 4.6%Physical Therapist4.6%Pharmacist - 4.5%Pharmacist4.5%Professional Counselor - 4%Professional Counselor4%Critical Care Medicine Nurse Practitioner - 0%Critical Care Medicine Nurse Practitioner0%
Largest specialties in Virginia (% of in-state providers)

Medicare quality performance, MIPS

Megan Gosnell, AG-ACNP's 2023 MIPS final score plotted against the Critical Care Medicine Nurse Practitioner national average

Below national average
MIPS Final Score
76.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine Nurse Practitioner) - 76.2/100 vs national avg 83.1

0%100%National avg83%76.2%
MIPS final score (Critical Care Medicine Nurse Practitioner) - 76.2/100 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).

Megan Gosnell, AG-ACNP appears in the CMS NPPES registry as a Critical Care Medicine Nurse Practitioner provider holding AG-ACNP credentials at 5801 BREMO RD, Richmond, VA, 23226, with a listed phone of (804) 281-8070. NPI 1821523945 was issued on 04/26/2017.

Medicare Part D records for calendar year 2023 show 228 prescription claims written by this provider, covering 90 Medicare beneficiaries and totaling roughly $33K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.2/100 for the 2023 performance year (Quality 64.6, Cost 56.2), compared with the national average of 83.1.

Critical Care Medicine Nurse Practitioner is a narrow specialty nationwide, with 1,414 enrolled providers across 50 states and an average of 426 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

5801 BREMO RD
Richmond, VA 23226

Provider Details

NPI 1821523945
Specialty Critical Care Medicine Nurse Practitioner
Credentials AG-ACNP
Gender Female
NPI Issued 04/26/2017

CMS Quality Score (MIPS)

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

76.2306
Final Score
Avg: 83.1
64.5816
Quality
56.1869
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Megan Gosnell, AG-ACNP 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.

Mcv Associated Physicians
Richmond, VA

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

Medicare Part D Prescribing Data

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

228
Total Claims
$33K
Total Drug Cost
90
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
245
Total Day Supply
5,974
Generic Drug Cost
$4K
Antibiotic Claims
31

Patient Demographics

Average Patient Age
66.2 years
Avg HCC Risk Score
4.20
Gender Split
57% female / 43% male
Age Distribution
<65: 34, 65-74: 35, 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.

Drug Claims
Atorvastatin Calcium
12
Pantoprazole Sodium
12

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

Critical Care Medicine Nurse Practitioner Overview

How Megan Gosnell, AG-ACNP fits within the Critical Care Medicine Nurse Practitioner landscape nationally.

1,414
Critical Care Medicine Nurse Practitioner Providers in US
50
States with Critical Care Medicine Nurse Practitioner
426
Avg Claims per Provider

Megan Gosnell, AG-ACNP's 228 claims are below the specialty average of 426.

Nearby Critical Care Medicine Nurse Practitioner Providers in Virginia

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

Compare Critical Care Medicine 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 Virginia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Critical Care Medicine 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.

Frequently Asked Questions

What is Megan Gosnell, AG-ACNP's specialty?
Megan Gosnell, AG-ACNP specializes in Critical Care Medicine Nurse Practitioner and practices in Richmond, Virginia. Credentials: AG-ACNP.
How much does Megan Gosnell, AG-ACNP prescribe under Medicare Part D?
In 2023, Megan Gosnell, AG-ACNP wrote 228 Medicare Part D claims totaling $33K in drug costs for 90 beneficiaries.
What is Megan Gosnell, AG-ACNP's Medicare quality score?
Megan Gosnell, AG-ACNP has a CMS MIPS Final Score of 76.2/100 (Quality: 64.6, Cost: 56.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Megan Gosnell, AG-ACNP located?
Megan Gosnell, AG-ACNP is located at 5801 BREMO RD, Richmond, VA, 23226. Phone: (804) 281-8070.
What is Megan Gosnell, AG-ACNP's NPI number?
Megan Gosnell, AG-ACNP's National Provider Identifier (NPI) is 1821523945, issued on 04/26/2017.
How many Critical Care Medicine Nurse Practitioner providers are there in the US?
There are 1,414 Critical Care Medicine Nurse Practitioner providers across 50 states in the US. The average Critical Care Medicine Nurse Practitioner provider writes 426 Medicare Part D claims per year.
What drugs does Megan Gosnell, AG-ACNP prescribe most often?
Based on 2023 Medicare Part D data, Megan Gosnell, AG-ACNP's most frequently prescribed drugs include Atorvastatin Calcium, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Megan Gosnell, AG-ACNP accept Medicare?
Megan Gosnell, AG-ACNP appears in CMS Medicare data with 228 Part D claims and 90 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Megan Gosnell, AG-ACNP's credentials?
Megan Gosnell, AG-ACNP's NPI is 1821523945 with credentials AG-ACNP. 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.