2026 NPPES data Acute Care Nurse Practitioner NPI 1609270388 APRN
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NICOLE CLEVINGER, APRN

Acute Care Nurse Practitioner in LEXINGTON, Kentucky. 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 · 330 beneficiaries · Acute Care Nurse Practitioner avg: 576
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.5077/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$1.0K
59 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NICOLE CLEVINGER, APRN is a Acute Care Nurse Practitioner ([object Object]) practicing in LEXINGTON, Kentucky with a Medicare Part D prescribing footprint of 2K claims across 330 beneficiaries — 17% brand-name prescribing . Their CMS MIPS Final Score of 95.5077/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.0K across 59 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NICOLE CLEVINGER, APRN reported a CMS MIPS final score of 95.5077 out of 100, above the 83.1 national average, and filed 1,597 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

NICOLE CLEVINGER, APRN at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/09/2014

NPI 1609270388

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,583 US NPIs in this specialty

Medicare Part D claims

1,597 177% vs specialty avg

2023 prescription claims

Specialty avg: 576

MIPS final score

95.5077/100 12.407700000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Acute Care Nurse Practitioner compares to other specialties among Kentucky providers

Kentucky providers

Acute Care Nurse Practitioner share within Kentucky

1. Acute Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Acute Care Nurse Practitioner share within Kentucky

Medicare quality performance — MIPS

NICOLE CLEVINGER, APRN's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
95.5077/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Acute Care Nurse Practitioner) — 95.5077/100 vs national avg 83.1

0%100%National avg83%95.5%
MIPS final score (Acute Care Nurse Practitioner) — 95.5077/100 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).

NICOLE CLEVINGER, APRN is a Acute Care Nurse Practitioner provider practicing in LEXINGTON, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APRN. NPI: 1609270388. 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.

NICOLE CLEVINGER, APRN appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider holding APRN credentials at 1720 NICHOLASVILLE RD, LEXINGTON, KY, 40503, with a listed phone of (859) 277-5887. NPI 1609270388 was issued on 10/09/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CLEVINGER 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 1,597 prescription claims written by this provider, covering 330 Medicare beneficiaries and totaling roughly $262K in drug spend, split 17% brand-name and 83% 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 95.5077/100 for the 2023 performance year (Quality 89.5953), compared with the national average of 83.1.

Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,583 enrolled providers across 53 states and an average of 576 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

1720 NICHOLASVILLE RD
LEXINGTON, KY 40503

Provider Details

NPI 1609270388
Specialty Acute Care Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 10/09/2014

CMS Quality Score (MIPS)

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

95.5077
Final Score
Avg: 83.1
89.5953
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where NICOLE CLEVINGER, APRN 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.

BAPTIST HEALTH MEDICAL GROUP INC
GEORGETOWN, KY

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 NICOLE CLEVINGER, APRN. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

Largest payer

Janssen Pharmaceuticals, 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

NICOLE CLEVINGER, APRN — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 1,597 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.

1,597
Total Claims
$262K
Total Drug Cost
330
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,440
Total Day Supply
102,591
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$241K
Generic Drug Cost
$21K

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.54
Gender Split
42% female / 58% male
Age Distribution
<65: 20, 65-74: 141, 75-84: 129, 85+: 40

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
152
Carvedilol
122
Eliquis
Apixaban
116
Clopidogrel
Clopidogrel Bisulfate
91
Rosuvastatin Calcium
84
Amlodipine Besylate
81
Xarelto
Rivaroxaban
75
Metoprolol Tartrate
67
Furosemide
62
Losartan Potassium
60

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

Acute Care Nurse Practitioner Overview

How NICOLE CLEVINGER, APRN fits within the Acute Care Nurse Practitioner landscape nationally.

24,583
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider

NICOLE CLEVINGER, APRN's 1,597 claims are above the specialty average of 576.

Nearby Acute Care Nurse Practitioner Providers in Kentucky

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

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

Frequently Asked Questions

What is NICOLE CLEVINGER, APRN's specialty?
NICOLE CLEVINGER, APRN specializes in Acute Care Nurse Practitioner and practices in LEXINGTON, Kentucky. Credentials: APRN.
How much does NICOLE CLEVINGER, APRN prescribe under Medicare Part D?
In 2023, NICOLE CLEVINGER, APRN wrote 1,597 Medicare Part D claims totaling $262K in drug costs for 330 beneficiaries.
What is NICOLE CLEVINGER, APRN's Medicare quality score?
NICOLE CLEVINGER, APRN has a CMS MIPS Final Score of 95.5077/100 (Quality: 89.5953). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLE CLEVINGER, APRN located?
NICOLE CLEVINGER, APRN is located at 1720 NICHOLASVILLE RD, LEXINGTON, KY, 40503. Phone: (859) 277-5887.
What is NICOLE CLEVINGER, APRN's NPI number?
NICOLE CLEVINGER, APRN's National Provider Identifier (NPI) is 1609270388, issued on 10/09/2014.
Does NICOLE CLEVINGER, APRN prescribe more brand-name or generic drugs?
NICOLE CLEVINGER, APRN's prescribing is 17% brand-name and 83% generic drugs by claim count, with $241K in brand drug costs.
How many Acute Care Nurse Practitioner providers are there in the US?
There are 24,583 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
What drugs does NICOLE CLEVINGER, APRN prescribe most often?
Based on 2023 Medicare Part D data, NICOLE CLEVINGER, APRN's most frequently prescribed drugs include Atorvastatin Calcium, Carvedilol, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE CLEVINGER, APRN accept Medicare?
NICOLE CLEVINGER, APRN appears in CMS Medicare data with 1,597 Part D claims and 330 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE CLEVINGER, APRN's credentials?
NICOLE CLEVINGER, APRN's NPI is 1609270388 with credentials APRN. 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