Nicole Smith, APRN
Acute Care Nurse Practitioner in Louisville, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,345 in Acute Care 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.
What the federal data shows
Nicole Smith, APRN reported a CMS MIPS final score of 73.2/100 - below the 83.5 national average - and filed 312 Medicare Part D claims in 2024.
- 73.2/100
- MIPS score · -10 vs avg
- 312
- Part D claims, 2024
- $156.32
- industry payments (Sunshine Act)
- ≥11th
- pct among measured MIPS (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 Nicole Smith, APRN
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1326764648), first enumerated 10/18/2022.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 312 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 73.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$156.32 in reported industry payments (9 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1326764648 · Acute Care Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1326764648
- ENUM-RECENT 2022
- TAX-MID 25K Acute Care
- MIPS-LOW 73.2/100
- RX-LIGHT 312
- BOOK-THIN 408 in Kentucky
- PHOTO-FINISH Alicia Swanger, AGAC… · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Denise Walter, A…
Denise Walter, AGACNP-BC
73.1 MIPS pts
- Melissa McKibben…
Melissa McKibben, NP
73.1 MIPS pts
- Smith · this pro…
Smith · this provider
73.2 MIPS pts
- Alicia Swanger, …
Alicia Swanger, AGACNP-BC
73.2 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Nicole Smith, APRN'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.
73 ≥ 11th percentile 11% 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 Nicole Smith, APRN sits
This provider among acute care nurse practitioner peers
Across the 3,830 acute care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Nicole Smith, APRN writes more Part D claims than 65% of them and scores higher on MIPS quality than 6% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one acute care nurse practitioner peer from a representative sample of 60; the gold marker is Nicole Smith, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Nicole Smith, APRN?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Kentucky
How Acute Care Nurse Practitioner compares to other specialties among Kentucky providers
Acute Care Nurse Practitioner ranks #47 among Kentucky's specialties (0.5% of in-state providers)
Each bar is a specialty's share of the Kentucky provider total, by primary NUCC taxonomy. The highlighted bar is Acute Care Nurse Practitioner; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Nicole Smith, APRN's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average
- MIPS Final Score
- 73.2/100
- vs 83.5 national avg · 2023 performance year
Quality benchmarks
- National MIPS avg 2023 measured reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Acute Care Nurse Practitioner US NPIs
73.2/100 MIPS final score - 10.3 pts below the 83.5 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Acute Care Nurse Practitioner. Quality dim: 58.7. Cost dim: 51.9.
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 | 1326764648 |
|---|---|
| Specialty | Acute Care Nurse Practitioner |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 10/18/2022 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Nicole Smith, APRN's current license status, disciplinary history, and board certifications with the Kentucky Board of Medical Licensure in Kentucky 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 1326764648 is the unique 10-digit identifier CMS uses to link Smith across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where Nicole Smith, 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.
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 Smith, APRN. Source: openpaymentsdata.cms.gov.
Total received
$156
Largest payer
Merck Sharp & Dohme LLC
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
Prescribing Breakdown
- 30-Day Fills
- 335.833
- Total Day Supply
- 7,810
- Generic Drug Cost
- $13K
- Antibiotic Claims
- 136
Patient Demographics
- Average Patient Age
- 65.8 years
- Avg HCC Risk Score
- 2.40
- Gender Split
- 31% female / 69% male
- Age Distribution
- <65: 18, 65-74: 26, 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 Nicole Smith, APRN prescribes most
Top Medicare Part D drugs by claim count, 2024
- Biktarvy
Biktarvy
41 claims
- Descovy
Descovy
37 claims
- Tivicay
Tivicay
33 claims
- Ceftriaxone
Ceftriaxone
21 claims
- Doxycycline Hyclate
Doxycycline Hyclate
20 claims
- Sulfamethoxazole-T…
Sulfamethoxazole-Trimethoprim
20 claims
- Prezcobix
Prezcobix
18 claims
- Cefazolin Sodium 13
Cefazolin Sodium
13 claims
| Drug | Claims |
|---|---|
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 41 |
| Descovy Emtricitabine/Tenofov Alafenam | 37 |
| Tivicay Dolutegravir Sodium | 33 |
| Ceftriaxone Ceftriaxone Sodium | 21 |
| Doxycycline Hyclate | 20 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 20 |
| Prezcobix Darunavir/Cobicistat | 18 |
| Cefazolin Sodium | 13 |
* 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 Smith, APRN fits within the Acute Care Nurse Practitioner landscape nationally.
Nicole Smith, APRN's 312 claims are below the specialty average of 623.
Nationwide Acute Care Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Smith, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (73.2 here).
Same NPPES enumeration year (2022)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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 Smith.
One of 408 Acute Care Nurse Practitioner providers enrolled in Kentucky, 5 are shown here.
Compare Acute Care Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Nicole Smith, APRN's specialty? ▼
How much does Nicole Smith, APRN prescribe under Medicare Part D? ▼
What is Nicole Smith, APRN's Medicare quality score? ▼
Where is Nicole Smith, APRN located? ▼
What is Nicole Smith, APRN's NPI number? ▼
How many Acute Care Nurse Practitioner providers are there in the US? ▼
What drugs does Nicole Smith, APRN prescribe most often? ▼
Does Nicole Smith, APRN accept Medicare? ▼
How can I verify Nicole Smith, APRN's credentials? ▼
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.
- 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 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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