2026 NPPES data Adult Health Nurse Practitioner NPI 1093104655 MSN, APRN, AGPCNP-BC
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MICHELLE WELKER, MSN, APRN, AGPCNP-BC

Adult Health 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
2K
Medicare Part D claims · 452 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$1.0K
56 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MICHELLE WELKER, MSN, APRN, AGPCNP-BC reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 1,506 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
2K
Part D claims, 2023
92%
generic prescribing
$1.0K
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.

MICHELLE WELKER, MSN, APRN, AGPCNP-BC's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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 MICHELLE WELKER, MSN, APRN, AGPCNP-BC?

High performer (top quartile)

NPI registry status

Active

Issued 01/20/2015

NPI 1093104655

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

1,506 25% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Adult Health Nurse Practitioner compares to other specialties among Missouri providers

Missouri providers

Adult Health Nurse Practitioner share within Missouri

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

Medicare quality performance — MIPS

MICHELLE WELKER, MSN, APRN, AGPCNP-BC's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

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

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

0%100%National avg83%99%
MIPS final score (Adult Health Nurse Practitioner) — 100/100 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 WELKER, MSN, APRN, AGPCNP-BC appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding MSN, APRN, AGPCNP-BC credentials at 3 DOCTORS PARK, CAPE GIRARDEAU, MO, 63703, with a listed phone of (573) 334-7748. NPI 1093104655 was issued on 01/20/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WELKER 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 1,506 prescription claims written by this provider, covering 452 Medicare beneficiaries and totaling roughly $96K in drug spend, split 8% brand-name and 92% 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 100/100 for the 2023 performance year, 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

3 DOCTORS PARK
CAPE GIRARDEAU, MO 63703

Provider Details

NPI 1093104655
Specialty Adult Health Nurse Practitioner
Credentials MSN, APRN, AGPCNP-BC
Gender Female
NPI Issued 01/20/2015

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHELLE WELKER, MSN, APRN, AGPCNP-BC 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.

CAPE GIRARDEAU UROLOGY ASSOCIATES INC
CAPE GIRARDEAU, 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).

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 MICHELLE WELKER, MSN, APRN, AGPCNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

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 · Generic-heavy

MICHELLE WELKER, MSN, APRN, AGPCNP-BC — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 1,506 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.

1,506
Total Claims
$96K
Total Drug Cost
452
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,241
Total Day Supply
59,462
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$54K
Generic Drug Cost
$42K
Antibiotic Claims
363

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.58
Gender Split
37% female / 63% male
Age Distribution
<65: 49, 65-74: 159, 75-84: 174, 85+: 70

Top Prescribed Drugs (Medicare Part D)

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

What MICHELLE WELKER, MSN, APRN, AGPCNP-BC 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
Tamsulosin Hcl
462
Finasteride
188
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
127
Cephalexin
100
Trospium Chloride
83
Methenamine Hippurate
52
Myrbetriq
Mirabegron
50
Alfuzosin Hcl Er
Alfuzosin Hcl
48
Cefdinir
46
Oxybutynin Chloride Er
Oxybutynin Chloride
43

* 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 MICHELLE WELKER, MSN, APRN, AGPCNP-BC 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

MICHELLE WELKER, MSN, APRN, AGPCNP-BC's 1,506 claims are above the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Missouri

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

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

Frequently Asked Questions

What is MICHELLE WELKER, MSN, APRN, AGPCNP-BC's specialty?
MICHELLE WELKER, MSN, APRN, AGPCNP-BC specializes in Adult Health Nurse Practitioner and practices in CAPE GIRARDEAU, Missouri. Credentials: MSN, APRN, AGPCNP-BC.
How much does MICHELLE WELKER, MSN, APRN, AGPCNP-BC prescribe under Medicare Part D?
In 2023, MICHELLE WELKER, MSN, APRN, AGPCNP-BC wrote 1,506 Medicare Part D claims totaling $96K in drug costs for 452 beneficiaries.
What is MICHELLE WELKER, MSN, APRN, AGPCNP-BC's Medicare quality score?
MICHELLE WELKER, MSN, APRN, AGPCNP-BC has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHELLE WELKER, MSN, APRN, AGPCNP-BC located?
MICHELLE WELKER, MSN, APRN, AGPCNP-BC is located at 3 DOCTORS PARK, CAPE GIRARDEAU, MO, 63703. Phone: (573) 334-7748.
What is MICHELLE WELKER, MSN, APRN, AGPCNP-BC's NPI number?
MICHELLE WELKER, MSN, APRN, AGPCNP-BC's National Provider Identifier (NPI) is 1093104655, issued on 01/20/2015.
Does MICHELLE WELKER, MSN, APRN, AGPCNP-BC prescribe more brand-name or generic drugs?
MICHELLE WELKER, MSN, APRN, AGPCNP-BC's prescribing is 8% brand-name and 92% generic drugs by claim count, with $54K in brand drug costs.
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 MICHELLE WELKER, MSN, APRN, AGPCNP-BC prescribe most often?
Based on 2023 Medicare Part D data, MICHELLE WELKER, MSN, APRN, AGPCNP-BC's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHELLE WELKER, MSN, APRN, AGPCNP-BC accept Medicare?
MICHELLE WELKER, MSN, APRN, AGPCNP-BC appears in CMS Medicare data with 1,506 Part D claims and 452 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHELLE WELKER, MSN, APRN, AGPCNP-BC's credentials?
MICHELLE WELKER, MSN, APRN, AGPCNP-BC's NPI is 1093104655 with credentials MSN, APRN, AGPCNP-BC. 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