NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1326498635 CNP
Verify on CMS → Nancy Middlestead, CNP
Family Nurse Practitioner in Wyoming, Minnesota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 459 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
83%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95/100
▲ 12 pts above national avg 83.5 · Exceptional
Industry payments
$78.6
4 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Nancy Middlestead, CNP reported a CMS MIPS final score of 95/100 - above the 83.5 national average - and filed 4,442 Medicare Part D claims in 2023.
- 95/100
- MIPS score · +12 vs avg
- 4K
- Part D claims, 2023
- 83%
- generic prescribing
- $78.6
- 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.
Nancy Middlestead, CNP's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
95 ≥ 78th percentile 78% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Nancy Middlestead, CNP sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Nancy Middlestead, CNP writes more Part D claims than 94% of them and scores higher on MIPS quality than 78% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Nancy Middlestead, CNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Nancy Middlestead, CNP?
High performer (top quartile)Primary specialty
Family Nurse Practitioner
Medicare Part D claims
4,442 264% vs specialty avg
MIPS final score
95/100 11.5 pts vs avg
Specialty distribution in Minnesota
How Family Nurse Practitioner compares to other specialties among Minnesota providers
Medicare quality performance, MIPS
Nancy Middlestead, CNP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 95/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Family Nurse Practitioner) - 95/100 vs national avg 83.5
How MIPS and board certification work
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 Middlestead, CNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding CNP credentials at 5200 FAIRVIEW BLVD, Wyoming, MN, 55092, with a listed phone of (651) 982-7000. NPI 1326498635 was issued on 06/16/2016.
Medicare Part D records for calendar year 2023 show 4,442 prescription claims written by this provider, covering 459 Medicare beneficiaries and totaling roughly $576K in drug spend, split 14% brand-name and 83% generic by claim count, with an opioid prescribing rate of 3.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95/100 for the 2023 performance year (Quality 91.7, Cost 75), compared with the 83.5 average among clinicians with a measured score.
Family Nurse Practitioner is a high-volume specialty nationwide, with 210,832 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
Provider Details
| NPI | 1326498635 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | CNP |
| Gender | Female |
| NPI Issued | 06/16/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.0047
Final Score
Measured-score avg: 83.5
91.6761
Quality
75.0062
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Nancy Middlestead, 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.
Range Regional Health Services
★★★★☆ 4/5
Hibbing, MN
Acute Care Hospitals
CMS CCN: 240040
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 Middlestead, CNP. Source: openpaymentsdata.cms.gov.
Total received
$79
Largest payer
Dexcom, 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 · Typical
Nancy Middlestead, CNP - brand share 14.0%
Family Nurse Practitioner average
14% brand-name claims vs 83% generic, on 4,442 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.
4,442
Total Claims
$576K
Total Drug Cost
459
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 7,388
- Total Day Supply
- 207,760
- Brand vs Generic
- 14% brand / 83% generic
- Brand Drug Cost
- $454K
- Generic Drug Cost
- $87K
- Opioid Claims
- 132 (3.0% rate)
- Antibiotic Claims
- 70
Patient Demographics
- Average Patient Age
- 69.0 years
- Avg HCC Risk Score
- 1.33
- Gender Split
- 68% female / 32% male
- Age Distribution
- <65: 111, 65-74: 207, 75-84: 104, 85+: 37
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nancy Middlestead, CNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
214 claims
- Omeprazole
Omeprazole
174 claims
- Lisinopril
Lisinopril
171 claims
- Amlodipine Besylate
Amlodipine Besylate
129 claims
- Gabapentin
Gabapentin
127 claims
- Levothyroxine Sodium
Levothyroxine Sodium
126 claims
- Metformin Hcl Er
Metformin Hcl Er
93 claims
- Losartan Potassium
Losartan Potassium
91 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 214 |
| Omeprazole | 174 |
| Lisinopril | 171 |
| Amlodipine Besylate | 129 |
| Gabapentin | 127 |
| Levothyroxine Sodium | 126 |
| Metformin Hcl Er Metformin Hcl | 93 |
| Losartan Potassium | 91 |
| Simvastatin | 84 |
| Metoprolol Succinate | 71 |
* 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 Nancy Middlestead, CNP fits within the Family Nurse Practitioner landscape nationally.
210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider
Nancy Middlestead, CNP's 4,442 claims are above the specialty average of 1,222.
Nearby Family Nurse Practitioner Providers in Minnesota
Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Middlestead.
Dr. Christine Aas-Larson
RN, CNP
Duluth, MN
Dr. Joeanna Aasen
APRN, CNP, DNP
Minneapolis, MN
Rodney Abary
Minneapolis, MN
Dr. Hamdi Abdi
ARNP
Minneapolis, MN
Nimo Abdi
Eden Prairie, MN
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Minnesota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Nancy Middlestead, CNP's specialty? ▼
Nancy Middlestead, CNP specializes in Family Nurse Practitioner and practices in Wyoming, Minnesota. Credentials: CNP.
How much does Nancy Middlestead, CNP prescribe under Medicare Part D? ▼
In 2023, Nancy Middlestead, CNP wrote 4,442 Medicare Part D claims totaling $576K in drug costs for 459 beneficiaries.
What is Nancy Middlestead, CNP's Medicare quality score? ▼
Nancy Middlestead, CNP has a CMS MIPS Final Score of 95/100 (Quality: 91.7, Cost: 75). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nancy Middlestead, CNP located? ▼
Nancy Middlestead, CNP is located at 5200 FAIRVIEW BLVD, Wyoming, MN, 55092. Phone: (651) 982-7000.
What is Nancy Middlestead, CNP's NPI number? ▼
Nancy Middlestead, CNP's National Provider Identifier (NPI) is 1326498635, issued on 06/16/2016.
Does Nancy Middlestead, CNP prescribe more brand-name or generic drugs? ▼
Nancy Middlestead, CNP's prescribing is 14% brand-name and 83% generic drugs by claim count, with $454K in brand drug costs.
Does Nancy Middlestead, CNP prescribe opioids? ▼
Yes, Nancy Middlestead, CNP had 132 opioid claims in 2023 with an opioid prescribing rate of 3.0%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 210,832 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 Nancy Middlestead, CNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Nancy Middlestead, CNP's most frequently prescribed drugs include Atorvastatin Calcium, Omeprazole, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nancy Middlestead, CNP accept Medicare? ▼
Nancy Middlestead, CNP appears in CMS Medicare data with 4,442 Part D claims and 459 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nancy Middlestead, CNP's credentials? ▼
Nancy Middlestead, CNP's NPI is 1326498635 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.