2026 NPPES data Family Nurse Practitioner NPI 1760454888 APRN
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MEREDITH GRUENWALD, APRN

Family Nurse Practitioner in CAPE GIRARDEAU, 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
113
Medicare Part D claims · 42 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.5751/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$127.33
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MEREDITH GRUENWALD, APRN reported a CMS MIPS final score of 92.5751/100 — above the 83.1 national average — and filed 113 Medicare Part D claims in 2023.

92.5751/100
MIPS score · +9 vs avg
113
Part D claims, 2023
86%
generic prescribing
$127.33
industry payments (Sunshine Act)

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.

MEREDITH GRUENWALD, APRN's MIPS score vs every scored U.S. clinician

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

93 Top 32% higher than 68% 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 MEREDITH GRUENWALD, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 02/02/2006

NPI 1760454888

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

113 91% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

92.5751/100 9.475100000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Family Nurse Practitioner compares to other specialties among Missouri providers

Missouri providers

Family Nurse Practitioner share within Missouri

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

Medicare quality performance — MIPS

MEREDITH GRUENWALD, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
92.5751/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 92.5751/100 vs national avg 83.1

0%100%National avg83%92.6%
MIPS final score (Family Nurse Practitioner) — 92.5751/100 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).

MEREDITH GRUENWALD, APRN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APRN credentials at 211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO, 63703, with a listed phone of (573) 339-1166. NPI 1760454888 was issued on 02/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRUENWALD 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 113 prescription claims written by this provider, covering 42 Medicare beneficiaries and totaling roughly $10K in drug spend, split 14% brand-name and 86% 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 92.5751/100 for the 2023 performance year (Quality 85.0323), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 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

211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703

Provider Details

NPI 1760454888
Specialty Family Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 02/02/2006

CMS Quality Score (MIPS)

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

92.5751
Final Score
Avg: 83.1
85.0323
Quality
88
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MEREDITH GRUENWALD, APRN 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.

SAINT FRANCIS MEDICAL CENTER
★★★☆☆ 3/5
CAPE GIRARDEAU, MO
Acute Care Hospitals
CMS CCN: 260183

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MEREDITH GRUENWALD, APRN. Source: openpaymentsdata.cms.gov.

Total received

$127

Largest payer

Cumberland Pharmaceuticals, Inc.

Most common payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

MEREDITH GRUENWALD, APRN — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 113 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.

113
Total Claims
$10K
Total Drug Cost
42
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
183
Total Day Supply
4,834
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$4K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
58.2 years
Avg HCC Risk Score
1.12
Gender Split
100% female / 0% male
Age Distribution
<65: 26, 65-74: 14, 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
Estradiol
28
Clobetasol Propionate
11
Premarin
"Estrogens
N/A

* 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 MEREDITH GRUENWALD, APRN fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

MEREDITH GRUENWALD, APRN's 113 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Missouri

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

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

Frequently Asked Questions

What is MEREDITH GRUENWALD, APRN's specialty?
MEREDITH GRUENWALD, APRN specializes in Family Nurse Practitioner and practices in CAPE GIRARDEAU, Missouri. Credentials: APRN.
How much does MEREDITH GRUENWALD, APRN prescribe under Medicare Part D?
In 2023, MEREDITH GRUENWALD, APRN wrote 113 Medicare Part D claims totaling $10K in drug costs for 42 beneficiaries.
What is MEREDITH GRUENWALD, APRN's Medicare quality score?
MEREDITH GRUENWALD, APRN has a CMS MIPS Final Score of 92.5751/100 (Quality: 85.0323). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MEREDITH GRUENWALD, APRN located?
MEREDITH GRUENWALD, APRN is located at 211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO, 63703. Phone: (573) 339-1166.
What is MEREDITH GRUENWALD, APRN's NPI number?
MEREDITH GRUENWALD, APRN's National Provider Identifier (NPI) is 1760454888, issued on 02/02/2006.
Does MEREDITH GRUENWALD, APRN prescribe more brand-name or generic drugs?
MEREDITH GRUENWALD, APRN's prescribing is 14% brand-name and 86% generic drugs by claim count, with $4K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 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 MEREDITH GRUENWALD, APRN prescribe most often?
Based on 2023 Medicare Part D data, MEREDITH GRUENWALD, APRN's most frequently prescribed drugs include Estradiol, Clobetasol Propionate, Premarin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MEREDITH GRUENWALD, APRN accept Medicare?
MEREDITH GRUENWALD, APRN appears in CMS Medicare data with 113 Part D claims and 42 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MEREDITH GRUENWALD, APRN's credentials?
MEREDITH GRUENWALD, APRN's NPI is 1760454888 with credentials APRN. 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