2026 NPPES data Nurse Practitioner NPI 1639664014 CNP
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MELISSA LEHR, CNP

Nurse Practitioner in SIOUX FALLS, 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
2K
Medicare Part D claims · 336 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
46%
generic claims · 54% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.6912/100
▼ 6 pts below national avg 83.1 · [object Object]
What the federal data reveals: MELISSA LEHR, CNP is a Nurse Practitioner ([object Object]) practicing in SIOUX FALLS, South Dakota with a Medicare Part D prescribing footprint of 2K claims across 336 beneficiaries — 54% brand-name prescribing . Their CMS MIPS Final Score of 76.6912/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MELISSA LEHR, CNP reported a CMS MIPS final score of 76.6912 out of 100, below the 83.1 national average, and filed 1,526 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MELISSA LEHR, CNP at a glance

Below national average

NPI registry status

Active

Issued 06/27/2018

NPI 1639664014

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

1,526 41% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

76.6912/100 6.408799999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Dakota

How Nurse Practitioner compares to other specialties among South Dakota providers

South Dakota providers

Nurse Practitioner share within South Dakota

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

Medicare quality performance — MIPS

MELISSA LEHR, CNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
76.6912/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 76.6912/100 vs national avg 83.1

0%100%National avg83%76.7%
MIPS final score (Nurse Practitioner) — 76.6912/100 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).

MELISSA LEHR, CNP is a Nurse Practitioner provider practicing in SIOUX FALLS, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: CNP. NPI: 1639664014. 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.

MELISSA LEHR, CNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding CNP credentials at 1205 S GRANGE AVE STE 407, SIOUX FALLS, SD, 57105, with a listed phone of (605) 328-8900. NPI 1639664014 was issued on 06/27/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LEHR 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 1,526 prescription claims written by this provider, covering 336 Medicare beneficiaries and totaling roughly $499K in drug spend, split 54% brand-name and 46% 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 76.6912/100 for the 2023 performance year (Quality 78.5693, Cost 44.5681), 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

1205 S GRANGE AVE STE 407
SIOUX FALLS, SD 57105

Provider Details

NPI 1639664014
Specialty Nurse Practitioner
Credentials CNP
Gender Female
NPI Issued 06/27/2018

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

Brand vs generic prescribing mix · Brand-heavy

MELISSA LEHR, CNP — brand share 54.0%
Specialty average (est.)

54% brand-name claims vs 46% generic, on 1,526 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.

1,526
Total Claims
$499K
Total Drug Cost
336
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,952
Total Day Supply
52,138
Brand vs Generic
54% brand / 46% generic
Brand Drug Cost
$485K
Antibiotic Claims
124

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.67
Gender Split
58% female / 42% male
Age Distribution
<65: 50, 65-74: 161, 75-84: 109, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
242
Prednisone
155
Montelukast Sodium
149
Albuterol Sulfate Hfa
Albuterol Sulfate
134
Breo Ellipta
Fluticasone/Vilanterol
98
Azithromycin
89
Omeprazole
83
Symbicort
Budesonide/Formoterol Fumarate
81
Ventolin Hfa
Albuterol Sulfate
48
Spiriva Respimat
Tiotropium Bromide
41

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

Nurse Practitioner Overview

How MELISSA LEHR, CNP 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

MELISSA LEHR, CNP's 1,526 claims are above the specialty average of 1,084.

Nearby 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 LEHR.

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

Frequently Asked Questions

What is MELISSA LEHR, CNP's specialty?
MELISSA LEHR, CNP specializes in Nurse Practitioner and practices in SIOUX FALLS, South Dakota. Credentials: CNP.
How much does MELISSA LEHR, CNP prescribe under Medicare Part D?
In 2023, MELISSA LEHR, CNP wrote 1,526 Medicare Part D claims totaling $499K in drug costs for 336 beneficiaries.
What is MELISSA LEHR, CNP's Medicare quality score?
MELISSA LEHR, CNP has a CMS MIPS Final Score of 76.6912/100 (Quality: 78.5693, Cost: 44.5681). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MELISSA LEHR, CNP located?
MELISSA LEHR, CNP is located at 1205 S GRANGE AVE STE 407, SIOUX FALLS, SD, 57105. Phone: (605) 328-8900.
What is MELISSA LEHR, CNP's NPI number?
MELISSA LEHR, CNP's National Provider Identifier (NPI) is 1639664014, issued on 06/27/2018.
Does MELISSA LEHR, CNP prescribe more brand-name or generic drugs?
MELISSA LEHR, CNP's prescribing is 54% brand-name and 46% generic drugs by claim count, with $485K in brand drug costs.
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 MELISSA LEHR, CNP prescribe most often?
Based on 2023 Medicare Part D data, MELISSA LEHR, CNP's most frequently prescribed drugs include Trelegy Ellipta, Prednisone, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELISSA LEHR, CNP accept Medicare?
MELISSA LEHR, CNP appears in CMS Medicare data with 1,526 Part D claims and 336 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELISSA LEHR, CNP's credentials?
MELISSA LEHR, CNP's NPI is 1639664014 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