2026 NPPES data Nurse Practitioner NPI 1932105590 CNP
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NANCY FOSS, 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
410
Medicare Part D claims · 105 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
50%
generic claims · 50% 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]
Industry payments
$209.72
10 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NANCY FOSS, CNP is a Nurse Practitioner ([object Object]) practicing in SIOUX FALLS, South Dakota with a Medicare Part D prescribing footprint of 410 claims across 105 beneficiaries — 50% 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 . Industry payments of $209.72 across 10 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NANCY FOSS, CNP reported a CMS MIPS final score of 76.6912 out of 100, below the 83.1 national average, and filed 410 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

NANCY FOSS, CNP at a glance

Below national average

NPI registry status

Active

Issued 06/28/2005

NPI 1932105590

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

410 62% 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

NANCY FOSS, 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).

NANCY FOSS, 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: 1932105590. 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.

NANCY FOSS, CNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding CNP credentials at 1205 S GRANGE AVE, SIOUX FALLS, SD, 57105, with a listed phone of (605) 328-8900. NPI 1932105590 was issued on 06/28/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FOSS 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 410 prescription claims written by this provider, covering 105 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, split 50% brand-name and 50% 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
SIOUX FALLS, SD 57105

Provider Details

NPI 1932105590
Specialty Nurse Practitioner
Credentials CNP
Gender Female
NPI Issued 06/28/2005

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

Hospital and facility affiliations

Facilities where NANCY FOSS, 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.

SANFORD MEDICAL CENTER
SIOUX FALLS, 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).

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 NANCY FOSS, CNP. Source: openpaymentsdata.cms.gov.

Total received

$210

Largest payer

Baxter Healthcare

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 · Brand-heavy

NANCY FOSS, CNP — brand share 50.0%
Specialty average (est.)

50% brand-name claims vs 50% generic, on 410 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.

410
Total Claims
$1.4M
Total Drug Cost
105
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
520
Total Day Supply
13,872
Brand vs Generic
50% brand / 50% generic
Brand Drug Cost
$1.4M
Generic Drug Cost
$4K
Antibiotic Claims
37

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
1.56
Gender Split
64% female / 36% 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
Prednisone
53
Trikafta
Elexacaftor/Tezacaftor/Ivacaft
49
Albuterol Sulfate Hfa
Albuterol Sulfate
37
Breo Ellipta
Fluticasone/Vilanterol
23
Azithromycin
21
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
20
Omeprazole
19
Fluticasone Propionate
18
Ventolin Hfa
Albuterol Sulfate
17
Montelukast Sodium
15

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

Nurse Practitioner Overview

How NANCY FOSS, 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

NANCY FOSS, CNP's 410 claims are below 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 FOSS.

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

Frequently Asked Questions

What is NANCY FOSS, CNP's specialty?
NANCY FOSS, CNP specializes in Nurse Practitioner and practices in SIOUX FALLS, South Dakota. Credentials: CNP.
How much does NANCY FOSS, CNP prescribe under Medicare Part D?
In 2023, NANCY FOSS, CNP wrote 410 Medicare Part D claims totaling $1.4M in drug costs for 105 beneficiaries.
What is NANCY FOSS, CNP's Medicare quality score?
NANCY FOSS, 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 NANCY FOSS, CNP located?
NANCY FOSS, CNP is located at 1205 S GRANGE AVE, SIOUX FALLS, SD, 57105. Phone: (605) 328-8900.
What is NANCY FOSS, CNP's NPI number?
NANCY FOSS, CNP's National Provider Identifier (NPI) is 1932105590, issued on 06/28/2005.
Does NANCY FOSS, CNP prescribe more brand-name or generic drugs?
NANCY FOSS, CNP's prescribing is 50% brand-name and 50% generic drugs by claim count, with $1.4M 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 NANCY FOSS, CNP prescribe most often?
Based on 2023 Medicare Part D data, NANCY FOSS, CNP's most frequently prescribed drugs include Prednisone, Trikafta, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NANCY FOSS, CNP accept Medicare?
NANCY FOSS, CNP appears in CMS Medicare data with 410 Part D claims and 105 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NANCY FOSS, CNP's credentials?
NANCY FOSS, CNP's NPI is 1932105590 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