2026 NPPES data Acute Care Nurse Practitioner NPI 1851013189 NP
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PRITI PATEL, NP

Acute Care Nurse Practitioner in CARMEL, Indiana. 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
74
Medicare Part D claims · 25 beneficiaries · Acute Care Nurse Practitioner avg: 576
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.7167/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$21.8
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PRITI PATEL, NP reported a CMS MIPS final score of 83.7167/100 — above the 83.1 national average — and filed 74 Medicare Part D claims in 2023.

83.7167/100
MIPS score · +1 vs avg
74
Part D claims, 2023
85%
generic prescribing
$21.8
industry payments (Sunshine Act)

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.

PRITI PATEL, NP'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 PRITI PATEL, NP?

Near national average

NPI registry status

Active

Issued 09/13/2022

NPI 1851013189

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,583 US NPIs in this specialty

Medicare Part D claims

74 87% vs specialty avg

2023 prescription claims

Specialty avg: 576

MIPS final score

83.7167/100 0.6167000000000087% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Indiana

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

Indiana providers

Acute Care Nurse Practitioner share within Indiana

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

Medicare quality performance — MIPS

PRITI PATEL, NP's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average

Near national average
MIPS Final Score
83.7167/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Acute Care Nurse Practitioner) — 83.7167/100 vs national avg 83.1

0%100%National avg83%83.7%
MIPS final score (Acute Care Nurse Practitioner) — 83.7167/100 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).

PRITI PATEL, NP appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider holding NP credentials at 1119 KEYSTONE WAY STE 117C, CARMEL, IN, 46032, with a listed phone of (317) 214-2100. NPI 1851013189 was issued on 09/13/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PATEL 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 74 prescription claims written by this provider, covering 25 Medicare beneficiaries and totaling roughly $6K in drug spend, split 15% brand-name and 85% 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 83.7167/100 for the 2023 performance year (Quality 69.9489), 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

1119 KEYSTONE WAY STE 117C
CARMEL, IN 46032

Provider Details

NPI 1851013189
Specialty Acute Care Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 09/13/2022

CMS Quality Score (MIPS)

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

83.7167
Final Score
Avg: 83.1
69.9489
Quality
95
Promoting Interoperability

Reporting: Group practice

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 PRITI PATEL, NP. Source: openpaymentsdata.cms.gov.

Total received

$22

Largest payer

DENTSPLY IH AB

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

PRITI PATEL, NP — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 74 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.

74
Total Claims
$6K
Total Drug Cost
25
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
80
Total Day Supply
1,837
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$6K
Generic Drug Cost
$713

Patient Demographics

Average Patient Age
77.3 years
Avg HCC Risk Score
2.40

Acute Care Nurse Practitioner Overview

How PRITI PATEL, NP 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

PRITI PATEL, NP's 74 claims are below the specialty average of 576.

Nearby Acute Care Nurse Practitioner Providers in Indiana

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

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

Frequently Asked Questions

What is PRITI PATEL, NP's specialty?
PRITI PATEL, NP specializes in Acute Care Nurse Practitioner and practices in CARMEL, Indiana. Credentials: NP.
How much does PRITI PATEL, NP prescribe under Medicare Part D?
In 2023, PRITI PATEL, NP wrote 74 Medicare Part D claims totaling $6K in drug costs for 25 beneficiaries.
What is PRITI PATEL, NP's Medicare quality score?
PRITI PATEL, NP has a CMS MIPS Final Score of 83.7167/100 (Quality: 69.9489). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRITI PATEL, NP located?
PRITI PATEL, NP is located at 1119 KEYSTONE WAY STE 117C, CARMEL, IN, 46032. Phone: (317) 214-2100.
What is PRITI PATEL, NP's NPI number?
PRITI PATEL, NP's National Provider Identifier (NPI) is 1851013189, issued on 09/13/2022.
Does PRITI PATEL, NP prescribe more brand-name or generic drugs?
PRITI PATEL, NP's prescribing is 15% brand-name and 85% generic drugs by claim count, with $6K 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.
Does PRITI PATEL, NP accept Medicare?
PRITI PATEL, NP appears in CMS Medicare data with 74 Part D claims and 25 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRITI PATEL, NP's credentials?
PRITI PATEL, NP's NPI is 1851013189 with credentials NP. 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