2026 NPPES data Adult Health Nurse Practitioner NPI 1811431877 CNP
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MEGAN MERKEL, CNP

Adult Health Nurse Practitioner in WATERTOWN, South Dakota. 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
517
Medicare Part D claims · 187 beneficiaries · Adult Health Nurse Practitioner avg: 1K
MIPS score
97.7535/100
▲ 15 pts above national avg 83.1 · [object Object]

What the federal data shows

MEGAN MERKEL, CNP reported a CMS MIPS final score of 97.7535/100 — above the 83.1 national average — and filed 517 Medicare Part D claims in 2023.

97.7535/100
MIPS score · +15 vs avg
517
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 MERKEL, CNP's MIPS score vs every scored U.S. clinician

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

98 Top 15% higher than 85% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 MEGAN MERKEL, CNP?

High performer (top quartile)

NPI registry status

Active

Issued 12/10/2016

NPI 1811431877

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

517 57% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

97.7535/100 14.653500000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Dakota

How Adult Health Nurse Practitioner compares to other specialties among South Dakota providers

South Dakota providers

Adult Health Nurse Practitioner share within South Dakota

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within South Dakota

Medicare quality performance — MIPS

MEGAN MERKEL, CNP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
97.7535/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 97.7535/100 vs national avg 83.1

0%100%National avg83%97.8%
MIPS final score (Adult Health Nurse Practitioner) — 97.7535/100 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).

MEGAN MERKEL, CNP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding CNP credentials at 401 9TH AVE NW, WATERTOWN, SD, 57201, with a listed phone of (605) 882-7000. NPI 1811431877 was issued on 12/10/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MERKEL 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 517 prescription claims written by this provider, covering 187 Medicare beneficiaries and totaling roughly $18K in drug spend, with an opioid prescribing rate of 27.5%. 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 97.7535/100 for the 2023 performance year (Quality 100, Cost 93.3451), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

401 9TH AVE NW
WATERTOWN, SD 57201

Provider Details

NPI 1811431877
Specialty Adult Health Nurse Practitioner
Credentials CNP
Gender Female
NPI Issued 12/10/2016

CMS Quality Score (MIPS)

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

97.7535
Final Score
Avg: 83.1
100
Quality
93.3451
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MEGAN MERKEL, CNP 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.

PRAIRIE LAKES HEALTH CARE SYSTEM INC
WATERTOWN, 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).

Medicare Part D Prescribing Data

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

517
Total Claims
$18K
Total Drug Cost
187
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
529
Total Day Supply
6,680
Generic Drug Cost
$5K
Opioid Claims
142 (27.5% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.12
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

What MEGAN MERKEL, CNP 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
Celecoxib
97
Oxycodone Hcl
94
Gabapentin
75
Hydroxyzine Pamoate
28
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
19
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
17

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

Adult Health Nurse Practitioner Overview

How MEGAN MERKEL, CNP fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

MEGAN MERKEL, CNP's 517 claims are below the specialty average of 1,201.

Nearby Adult Health 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 MERKEL.

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

Frequently Asked Questions

What is MEGAN MERKEL, CNP's specialty?
MEGAN MERKEL, CNP specializes in Adult Health Nurse Practitioner and practices in WATERTOWN, South Dakota. Credentials: CNP.
How much does MEGAN MERKEL, CNP prescribe under Medicare Part D?
In 2023, MEGAN MERKEL, CNP wrote 517 Medicare Part D claims totaling $18K in drug costs for 187 beneficiaries.
What is MEGAN MERKEL, CNP's Medicare quality score?
MEGAN MERKEL, CNP has a CMS MIPS Final Score of 97.7535/100 (Quality: 100, Cost: 93.3451). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MEGAN MERKEL, CNP located?
MEGAN MERKEL, CNP is located at 401 9TH AVE NW, WATERTOWN, SD, 57201. Phone: (605) 882-7000.
What is MEGAN MERKEL, CNP's NPI number?
MEGAN MERKEL, CNP's National Provider Identifier (NPI) is 1811431877, issued on 12/10/2016.
Does MEGAN MERKEL, CNP prescribe opioids?
Yes, MEGAN MERKEL, CNP had 142 opioid claims in 2023 with an opioid prescribing rate of 27.5%.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does MEGAN MERKEL, CNP prescribe most often?
Based on 2023 Medicare Part D data, MEGAN MERKEL, CNP's most frequently prescribed drugs include Celecoxib, Oxycodone Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MEGAN MERKEL, CNP accept Medicare?
MEGAN MERKEL, CNP appears in CMS Medicare data with 517 Part D claims and 187 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MEGAN MERKEL, CNP's credentials?
MEGAN MERKEL, CNP's NPI is 1811431877 with credentials CNP. 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