NPI registry status
Active
2026 NPPES data Acute Care Nurse Practitioner NPI 1689321754 AGACNP
Verify on CMS → Rachelle Kirschner, AGACNP
Acute Care Nurse Practitioner in Saint Louis, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,697 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.
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
145
Medicare Part D claims · 24 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
88.9/100
▲ 6 pts above national avg 83.1 · Above neutral
Industry payments
$125.87
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Rachelle Kirschner, AGACNP reported a CMS MIPS final score of 88.9/100 - above the 83.1 national average - and filed 145 Medicare Part D claims in 2023.
- 88.9/100
- MIPS score · +6 vs avg
- 145
- Part D claims, 2023
- 83%
- generic prescribing
- $125.87
- 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.
Rachelle Kirschner, AGACNP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
89 Top 44% higher than 56% of 477,587 scored providers
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
Where Rachelle Kirschner, AGACNP sits
This provider among acute care nurse practitioner peers
Across the 3,864 acute care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Rachelle Kirschner, AGACNP writes more Part D claims than 46% of them and scores higher on MIPS quality than 57% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one acute care nurse practitioner peer from a representative sample of 60; the gold marker is Rachelle Kirschner, AGACNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Rachelle Kirschner, AGACNP?
High performer (top quartile)Primary specialty
Acute Care Nurse Practitioner
Medicare Part D claims
145 75% vs specialty avg
MIPS final score
88.9/100 5.8 pts vs avg
Specialty distribution in Missouri
How Acute Care Nurse Practitioner compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Rachelle Kirschner, AGACNP's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average
- MIPS Final Score
- 88.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Acute Care Nurse Practitioner) - 88.9/100 vs national avg 83.1
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).
Rachelle Kirschner, AGACNP appears in the CMS NPPES registry as an Acute Care Nurse Practitioner provider holding AGACNP credentials at 3655 VISTA AVE, Saint Louis, MO, 63110, with a listed phone of (314) 257-8510. NPI 1689321754 was issued on 03/08/2022.
Medicare Part D records for calendar year 2023 show 145 prescription claims written by this provider, covering 24 Medicare beneficiaries and totaling roughly $191K in drug spend, split 17% brand-name and 83% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.9/100 for the 2023 performance year (Quality 84.7, Cost 45), compared with the national average of 83.1.
Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,697 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
Provider Details
| NPI | 1689321754 |
|---|---|
| Specialty | Acute Care Nurse Practitioner |
| Credentials | AGACNP |
| Gender | Female |
| NPI Issued | 03/08/2022 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
88.9211
Final Score
Avg: 83.1
84.7241
Quality
45.013
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Rachelle Kirschner, AGACNP 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.
Ssm Health Care Group
Saint Louis, MO
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 Rachelle Kirschner, AGACNP. Source: openpaymentsdata.cms.gov.
Total received
$126
Largest payer
Legend Biotech USA 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
Rachelle Kirschner, AGACNP - brand share 17.0%
Acute Care Nurse Practitioner average
17% brand-name claims vs 83% generic, on 145 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.
145
Total Claims
$191K
Total Drug Cost
24
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 217
- Total Day Supply
- 6,037
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $150K
- Generic Drug Cost
- $41K
- Antibiotic Claims
- 17
Patient Demographics
- Average Patient Age
- 66.9 years
- Avg HCC Risk Score
- 4.41
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Valacyclovir Valacyclovir Hcl | 15 |
* 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 Rachelle Kirschner, AGACNP fits within the Acute Care Nurse Practitioner landscape nationally.
24,697
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider
Rachelle Kirschner, AGACNP's 145 claims are below the specialty average of 576.
Nearby Acute Care Nurse Practitioner Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Kirschner.
Dr. Alivia Acklin
AG-ACNP
West Plains, MO
Dr. Michelle Adorjan
ACNP
Saint Louis, MO
Dr. Timothy Adrian
APRN
Saint Louis, MO
Dr. Jennifer Aiken
FNP-BC
Independence, MO
Dr. Hana Alul
NP
St. Louis, MO
Compare Acute Care 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 Missouri medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Acute Care 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.
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Frequently Asked Questions
What is Rachelle Kirschner, AGACNP's specialty? ▼
Rachelle Kirschner, AGACNP specializes in Acute Care Nurse Practitioner and practices in Saint Louis, Missouri. Credentials: AGACNP.
How much does Rachelle Kirschner, AGACNP prescribe under Medicare Part D? ▼
In 2023, Rachelle Kirschner, AGACNP wrote 145 Medicare Part D claims totaling $191K in drug costs for 24 beneficiaries.
What is Rachelle Kirschner, AGACNP's Medicare quality score? ▼
Rachelle Kirschner, AGACNP has a CMS MIPS Final Score of 88.9/100 (Quality: 84.7, Cost: 45). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rachelle Kirschner, AGACNP located? ▼
Rachelle Kirschner, AGACNP is located at 3655 VISTA AVE, Saint Louis, MO, 63110. Phone: (314) 257-8510.
What is Rachelle Kirschner, AGACNP's NPI number? ▼
Rachelle Kirschner, AGACNP's National Provider Identifier (NPI) is 1689321754, issued on 03/08/2022.
Does Rachelle Kirschner, AGACNP prescribe more brand-name or generic drugs? ▼
Rachelle Kirschner, AGACNP's prescribing is 17% brand-name and 83% generic drugs by claim count, with $150K in brand drug costs.
How many Acute Care Nurse Practitioner providers are there in the US? ▼
There are 24,697 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 Rachelle Kirschner, AGACNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Rachelle Kirschner, AGACNP's most frequently prescribed drugs include Valacyclovir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rachelle Kirschner, AGACNP accept Medicare? ▼
Rachelle Kirschner, AGACNP appears in CMS Medicare data with 145 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 Rachelle Kirschner, AGACNP's credentials? ▼
Rachelle Kirschner, AGACNP's NPI is 1689321754 with credentials AGACNP. 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
Compiled from official public sources by the PlainDoctor editorial team.
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.