2026 NPPES data Family Nurse Practitioner NPI 1063988152 APRN
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Penny Van Alstyne, APRN

Family Nurse Practitioner in Keene, New Hampshire.

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
96
Medicare Part D claims · 24 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
78.6/100
▼ 5 pts below national avg 83.5 · Above neutral

What the federal data shows

Penny Van Alstyne, APRN reported a CMS MIPS final score of 78.6/100 - below the 83.5 national average - and filed 96 Medicare Part D claims in 2023.

78.6/100
MIPS score · -5 vs avg
96
Part D claims, 2023
≥23rd
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.

Penny Van Alstyne, 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.

79 ≥ 23rd percentile 23% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Penny Van Alstyne, APRN 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, Penny Van Alstyne, APRN writes more Part D claims than 21% of them and scores higher on MIPS quality than 24% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Penny Van Alstyne, APRN, Part D claim volume, percentile in specialty: 21 · MIPS quality, percentile: 24
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 Penny Van Alstyne, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Penny Van Alstyne, APRN?

Near national average

NPI registry status

Active

Issued 10/16/2018

NPI 1063988152

Primary specialty

Family Nurse Practitioner

High-volume

210,832 US NPIs in this specialty

Medicare Part D claims

96 92% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

78.6/100 4.9 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in New Hampshire

How Family Nurse Practitioner compares to other specialties among New Hampshire providers

New Hampshire providers
Mental Health Counselor6.6%Physical Therapist5%Clinical Social Worker4.4%Pharmacist3.9%Case Manager/Care Coordinator3.8%Occupational Therapist3.8%Family Nurse Practitioner3.7%
Largest specialties in New Hampshire (% of in-state providers)

Medicare quality performance, MIPS

Penny Van Alstyne, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Near national average
MIPS Final Score
78.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%78.6%
MIPS final score (Family Nurse Practitioner) - 78.6/100 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).

Penny Van Alstyne, APRN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APRN credentials at 590 COURT ST, Keene, NH, 03431, with a listed phone of (603) 354-5400. NPI 1063988152 was issued on 10/16/2018.

Medicare Part D records for calendar year 2023 show 96 prescription claims written by this provider, covering 24 Medicare beneficiaries and totaling roughly $4K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.6/100 for the 2023 performance year (Quality 75.2, Cost 53.5), 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

590 COURT ST
Keene, NH 03431

Provider Details

NPI 1063988152
Specialty Family Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 10/16/2018

CMS Quality Score (MIPS)

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

78.6154
Final Score
Measured-score avg: 83.5
75.2274
Quality
53.4905
Cost
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

96
Total Claims
$4K
Total Drug Cost
24
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
124
Total Day Supply
3,582
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
76.7 years
Avg HCC Risk Score
1.58

Top Prescribed Drugs (Medicare Part D)

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

What Penny Van Alstyne, APRN prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Gabapentin
28
Levothyroxine Sodium
16
Divalproex Sodium
12
Venlafaxine Hcl Er
Venlafaxine Hcl
11

* 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 Penny Van Alstyne, APRN 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

Penny Van Alstyne, APRN's 96 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in New Hampshire

Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as Van Alstyne.

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 New Hampshire 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.

Frequently Asked Questions

What is Penny Van Alstyne, APRN's specialty?
Penny Van Alstyne, APRN specializes in Family Nurse Practitioner and practices in Keene, New Hampshire. Credentials: APRN.
How much does Penny Van Alstyne, APRN prescribe under Medicare Part D?
In 2023, Penny Van Alstyne, APRN wrote 96 Medicare Part D claims totaling $4K in drug costs for 24 beneficiaries.
What is Penny Van Alstyne, APRN's Medicare quality score?
Penny Van Alstyne, APRN has a CMS MIPS Final Score of 78.6/100 (Quality: 75.2, Cost: 53.5). 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 Penny Van Alstyne, APRN located?
Penny Van Alstyne, APRN is located at 590 COURT ST, Keene, NH, 03431. Phone: (603) 354-5400.
What is Penny Van Alstyne, APRN's NPI number?
Penny Van Alstyne, APRN's National Provider Identifier (NPI) is 1063988152, issued on 10/16/2018.
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 Penny Van Alstyne, APRN prescribe most often?
Based on 2023 Medicare Part D data, Penny Van Alstyne, APRN's most frequently prescribed drugs include Gabapentin, Levothyroxine Sodium, Divalproex Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Penny Van Alstyne, APRN accept Medicare?
Penny Van Alstyne, APRN appears in CMS Medicare data with 96 Part D claims and 24 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Penny Van Alstyne, APRN's credentials?
Penny Van Alstyne, APRN's NPI is 1063988152 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

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.