2026 NPPES data Ambulatory Care Registered Nurse NPI 1952727562
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MICHELLE MERKER

Ambulatory Care Registered Nurse in KANSAS CITY, 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
802
Medicare Part D claims · 139 beneficiaries · Ambulatory Care Registered Nurse avg: 695
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.2887/100
▼ 6 pts below national avg 83.1 · [object Object]
What the federal data reveals: MICHELLE MERKER is a Ambulatory Care Registered Nurse ([object Object]) practicing in KANSAS CITY, Missouri with a Medicare Part D prescribing footprint of 802 claims across 139 beneficiaries — 7% brand-name prescribing . Their CMS MIPS Final Score of 77.2887/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MICHELLE MERKER reported a CMS MIPS final score of 77.2887 out of 100, below the 83.1 national average, and filed 802 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MICHELLE MERKER at a glance

Below national average

NPI registry status

Active

Issued 03/07/2014

NPI 1952727562

Primary specialty

Ambulatory Care Registered Nurse

Niche

3,123 US NPIs in this specialty

Medicare Part D claims

802 15% vs specialty avg

2023 prescription claims

Specialty avg: 695

MIPS final score

77.2887/100 5.811299999999989% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Ambulatory Care Registered Nurse compares to other specialties among Missouri providers

Missouri providers

Ambulatory Care Registered Nurse share within Missouri

1. Ambulatory Care Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ambulatory Care Registered Nurse share within Missouri

Medicare quality performance — MIPS

MICHELLE MERKER's 2023 MIPS final score plotted against the Ambulatory Care Registered Nurse national average

Below national average
MIPS Final Score
77.2887/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ambulatory Care Registered Nurse) — 77.2887/100 vs national avg 83.1

0%100%National avg83%77.3%
MIPS final score (Ambulatory Care Registered Nurse) — 77.2887/100 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).

MICHELLE MERKER is a Ambulatory Care Registered Nurse provider practicing in KANSAS CITY, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1952727562. 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.

MICHELLE MERKER appears in the CMS NPPES registry as a Ambulatory Care Registered Nurse provider at 4321 WASHINGTON ST STE 6000, KANSAS CITY, MO, 64111, with a listed phone of (816) 756-2255. NPI 1952727562 was issued on 03/07/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MERKER 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 802 prescription claims written by this provider, covering 139 Medicare beneficiaries and totaling roughly $993K in drug spend, split 7% brand-name and 93% 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 77.2887/100 for the 2023 performance year (Quality 73.7123, Cost 50.5834), compared with the national average of 83.1.

Ambulatory Care Registered Nurse is a narrow specialty nationwide, with 3,123 enrolled providers across 53 states and an average of 695 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

4321 WASHINGTON ST STE 6000
KANSAS CITY, MO 64111

Provider Details

NPI 1952727562
Specialty Ambulatory Care Registered Nurse
Gender Female
NPI Issued 03/07/2014

CMS Quality Score (MIPS)

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

77.2887
Final Score
Avg: 83.1
73.7123
Quality
50.5834
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHELLE MERKER 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 LUKES PHYSICIAN GROUP INC
LEES SUMMIT, MO

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

MICHELLE MERKER — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 802 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.

802
Total Claims
$993K
Total Drug Cost
139
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,137
Total Day Supply
33,766
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$867K
Generic Drug Cost
$126K

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
1.38
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Zolpidem Tartrate
183
Clonazepam
76
Pramipexole Dihydrochloride
Pramipexole Di-Hcl
73
Trazodone Hcl
59
Montelukast Sodium
47
Eszopiclone
45
Modafinil
38
Armodafinil
36
Ropinirole Hcl
30
Zaleplon
27

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

Ambulatory Care Registered Nurse Overview

How MICHELLE MERKER fits within the Ambulatory Care Registered Nurse landscape nationally.

3,123
Ambulatory Care Registered Nurse Providers in US
53
States with Ambulatory Care Registered Nurse
695
Avg Claims per Provider

MICHELLE MERKER's 802 claims are above the specialty average of 695.

Nearby Ambulatory Care Registered Nurse Providers in Missouri

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

Compare Ambulatory Care Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHELLE MERKER's specialty?
MICHELLE MERKER specializes in Ambulatory Care Registered Nurse and practices in KANSAS CITY, Missouri.
How much does MICHELLE MERKER prescribe under Medicare Part D?
In 2023, MICHELLE MERKER wrote 802 Medicare Part D claims totaling $993K in drug costs for 139 beneficiaries.
What is MICHELLE MERKER's Medicare quality score?
MICHELLE MERKER has a CMS MIPS Final Score of 77.2887/100 (Quality: 73.7123, Cost: 50.5834). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHELLE MERKER located?
MICHELLE MERKER is located at 4321 WASHINGTON ST STE 6000, KANSAS CITY, MO, 64111. Phone: (816) 756-2255.
What is MICHELLE MERKER's NPI number?
MICHELLE MERKER's National Provider Identifier (NPI) is 1952727562, issued on 03/07/2014.
Does MICHELLE MERKER prescribe more brand-name or generic drugs?
MICHELLE MERKER's prescribing is 7% brand-name and 93% generic drugs by claim count, with $867K in brand drug costs.
How many Ambulatory Care Registered Nurse providers are there in the US?
There are 3,123 Ambulatory Care Registered Nurse providers across 53 states in the US. The average Ambulatory Care Registered Nurse provider writes 695 Medicare Part D claims per year.
What drugs does MICHELLE MERKER prescribe most often?
Based on 2023 Medicare Part D data, MICHELLE MERKER's most frequently prescribed drugs include Zolpidem Tartrate, Clonazepam, Pramipexole Dihydrochloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHELLE MERKER accept Medicare?
MICHELLE MERKER appears in CMS Medicare data with 802 Part D claims and 139 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHELLE MERKER's credentials?
MICHELLE MERKER's NPI is 1952727562. 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