2026 NPPES data Gerontology Nurse Practitioner NPI 1801900923 GNP
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PAMELA NILES, GNP

Gerontology Nurse Practitioner in EDINA, Minnesota. 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
108
Medicare Part D claims · 21 beneficiaries · Gerontology Nurse Practitioner avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.5331/100
▲ 0 pts above national avg 83.1 · [object Object]

What the federal data shows

PAMELA NILES, GNP reported a CMS MIPS final score of 83.5331/100 — above the 83.1 national average — and filed 108 Medicare Part D claims in 2023.

83.5331/100
MIPS score · +0 vs avg
108
Part D claims, 2023
90%
generic prescribing

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.

PAMELA NILES, GNP's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

84 42nd percentile higher than 42% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about PAMELA NILES, GNP?

Near national average

NPI registry status

Active

Issued 08/18/2006

NPI 1801900923

Primary specialty

Gerontology Nurse Practitioner

Mid-sized

9,625 US NPIs in this specialty

Medicare Part D claims

108 92% vs specialty avg

2023 prescription claims

Specialty avg: 1,283

MIPS final score

83.5331/100 0.43310000000001025% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Gerontology Nurse Practitioner compares to other specialties among Minnesota providers

Minnesota providers

Gerontology Nurse Practitioner share within Minnesota

1. Gerontology Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gerontology Nurse Practitioner share within Minnesota

Medicare quality performance — MIPS

PAMELA NILES, GNP's 2023 MIPS final score plotted against the Gerontology Nurse Practitioner national average

Near national average
MIPS Final Score
83.5331/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gerontology Nurse Practitioner) — 83.5331/100 vs national avg 83.1

0%100%National avg83%83.5%
MIPS final score (Gerontology Nurse Practitioner) — 83.5331/100 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).

PAMELA NILES, GNP appears in the CMS NPPES registry as a Gerontology Nurse Practitioner provider holding GNP credentials at 3400 W 66TH ST, EDINA, MN, 55435, with a listed phone of (952) 836-3637. NPI 1801900923 was issued on 08/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NILES 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 108 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $6K in drug spend, split 10% brand-name and 90% 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 83.5331/100 for the 2023 performance year (Quality 81.7967, Cost 63.3136), compared with the national average of 83.1.

Gerontology Nurse Practitioner is a mid-sized specialty nationwide, with 9,625 enrolled providers across 54 states and an average of 1,283 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

3400 W 66TH ST
EDINA, MN 55435

Provider Details

NPI 1801900923
Specialty Gerontology Nurse Practitioner
Credentials GNP
Gender Female
NPI Issued 08/18/2006

CMS Quality Score (MIPS)

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

83.5331
Final Score
Avg: 83.1
81.7967
Quality
63.3136
Cost
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Typical

PAMELA NILES, GNP — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 108 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.

108
Total Claims
$6K
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
111
Total Day Supply
2,539
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$4K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
79.7 years
Avg HCC Risk Score
2.45

Gerontology Nurse Practitioner Overview

How PAMELA NILES, GNP fits within the Gerontology Nurse Practitioner landscape nationally.

9,625
Gerontology Nurse Practitioner Providers in US
54
States with Gerontology Nurse Practitioner
1,283
Avg Claims per Provider

PAMELA NILES, GNP's 108 claims are below the specialty average of 1,283.

Nearby Gerontology Nurse Practitioner Providers in Minnesota

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

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

Frequently Asked Questions

What is PAMELA NILES, GNP's specialty?
PAMELA NILES, GNP specializes in Gerontology Nurse Practitioner and practices in EDINA, Minnesota. Credentials: GNP.
How much does PAMELA NILES, GNP prescribe under Medicare Part D?
In 2023, PAMELA NILES, GNP wrote 108 Medicare Part D claims totaling $6K in drug costs for 21 beneficiaries.
What is PAMELA NILES, GNP's Medicare quality score?
PAMELA NILES, GNP has a CMS MIPS Final Score of 83.5331/100 (Quality: 81.7967, Cost: 63.3136). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAMELA NILES, GNP located?
PAMELA NILES, GNP is located at 3400 W 66TH ST, EDINA, MN, 55435. Phone: (952) 836-3637.
What is PAMELA NILES, GNP's NPI number?
PAMELA NILES, GNP's National Provider Identifier (NPI) is 1801900923, issued on 08/18/2006.
Does PAMELA NILES, GNP prescribe more brand-name or generic drugs?
PAMELA NILES, GNP's prescribing is 10% brand-name and 90% generic drugs by claim count, with $4K in brand drug costs.
How many Gerontology Nurse Practitioner providers are there in the US?
There are 9,625 Gerontology Nurse Practitioner providers across 54 states in the US. The average Gerontology Nurse Practitioner provider writes 1,283 Medicare Part D claims per year.
Does PAMELA NILES, GNP accept Medicare?
PAMELA NILES, GNP appears in CMS Medicare data with 108 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAMELA NILES, GNP's credentials?
PAMELA NILES, GNP's NPI is 1801900923 with credentials GNP. 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