Nicholas Smith, FNP
Emergency Registered Nurse in Kansas City, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,729 in Emergency Registered Nurse, 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Nicholas Smith, FNP filed 232 Medicare Part D claims in 2024 as an Emergency Registered Nurse in Kansas City, Missouri, prescribing 94% generic.
- 232
- Part D claims, 2024
- 94%
- generic prescribing
- ≥48th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Nicholas Smith, FNP
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1912573627), first enumerated 06/02/2021.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 232 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1912573627 · Emergency Registered Nurse
NPI-10 · ENUM-RECENT · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1912573627
- ENUM-RECENT 2021
- TAX-NARROW 4,729
- RX-LIGHT 232
- BOOK-THIN 105 in Missouri
- PHOTO-ENUM Lucas Cummings, RN · 2021
Nicholas Smith, FNP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
232 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Nicholas Smith, FNP?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Missouri
How Emergency Registered Nurse compares to other specialties among Missouri providers
Emergency Registered Nurse ranks #110 among Missouri's specialties (0.1% of in-state providers)
Each bar is a specialty's share of the Missouri provider total, by primary NUCC taxonomy. The highlighted bar is Emergency Registered Nurse; the long tail of smaller specialties is omitted for legibility.
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Emergency Registered Nurse. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1912573627 |
|---|---|
| Specialty | Emergency Registered Nurse |
| Credentials | FNP |
| Gender | Male |
| NPI Issued | 06/02/2021 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Nicholas Smith, FNP's current license status, disciplinary history, and board certifications with the Missouri Board of Registration for the Healing Arts in Missouri before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1912573627 is the unique 10-digit identifier CMS uses to link Smith across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
Hospital and facility affiliations
Facilities where Nicholas Smith, FNP 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.
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
6% brand-name claims vs 94% generic, on 232 2024 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 2024.
Prescribing Breakdown
- 30-Day Fills
- 232.8
- Total Day Supply
- 1,629
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $173
- Generic Drug Cost
- $928
- Opioid Claims
- 31 (13.4% rate)
- Antibiotic Claims
- 83
Patient Demographics
- Average Patient Age
- 59.3 years
- Avg HCC Risk Score
- 1.71
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 60, 65-74: 47, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Nicholas Smith, FNP prescribes most
Top Medicare Part D drugs by claim count, 2024
- Prednisone
Prednisone
38 claims
- Tramadol Hcl
Tramadol Hcl
19 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
16 claims
- Cyclobenzaprine Hcl
Cyclobenzaprine Hcl
16 claims
- Azithromycin 14
Azithromycin
14 claims
- Hydrocodone-Acetam… 12
Hydrocodone-Acetaminophen
12 claims
- Sulfamethoxazole-T… 12
Sulfamethoxazole-Trimethoprim
12 claims
- Naproxen 11
Naproxen
11 claims
| Drug | Claims |
|---|---|
| Prednisone | 38 |
| Tramadol Hcl | 19 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 16 |
| Cyclobenzaprine Hcl | 16 |
| Azithromycin | 14 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 12 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 12 |
| Naproxen | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Registered Nurse Overview
How Nicholas Smith, FNP fits within the Emergency Registered Nurse landscape nationally.
Nicholas Smith, FNP's 232 claims are below the specialty average of 743.
Nationwide Emergency Registered Nurse peers with similar MIPS or enrollment year
Two federal-record peer sets for Smith, both outside Missouri so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2021)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Emergency Registered Nurse Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Smith.
One of 105 Emergency Registered Nurse providers enrolled in Missouri, 5 are shown here.
Compare Emergency Registered Nurse nationally: see state-by-state distribution →
Frequently Asked Questions
What is Nicholas Smith, FNP's specialty? ▼
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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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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 August 2026.
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