2026 NPPES data Acute Care Nurse Practitioner NPI 1689321754 AGACNP
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RACHELLE KIRSCHNER, AGACNP

Acute Care Nurse Practitioner in SAINT LOUIS, Missouri. 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
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
88.9211/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$125.87
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RACHELLE KIRSCHNER, AGACNP reported a CMS MIPS final score of 88.9211/100 — above the 83.1 national average — and filed 145 Medicare Part D claims in 2023.

88.9211/100
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

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 RACHELLE KIRSCHNER, AGACNP?

High performer (top quartile)

NPI registry status

Active

Issued 03/08/2022

NPI 1689321754

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,583 US NPIs in this specialty

Medicare Part D claims

145 75% vs specialty avg

2023 prescription claims

Specialty avg: 576

MIPS final score

88.9211/100 5.821100000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

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

Missouri providers

Acute Care Nurse Practitioner share within Missouri

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

Medicare quality performance — MIPS

RACHELLE KIRSCHNER, AGACNP's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
88.9211/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Acute Care Nurse Practitioner) — 88.9211/100 vs national avg 83.1

0%100%National avg83%88.9%
MIPS final score (Acute Care Nurse Practitioner) — 88.9211/100 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).

RACHELLE KIRSCHNER, AGACNP is a Acute Care Nurse Practitioner provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: AGACNP. NPI: 1689321754. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

RACHELLE KIRSCHNER, AGACNP appears in the CMS NPPES registry as a 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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KIRSCHNER 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 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. 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 88.9211/100 for the 2023 performance year (Quality 84.7241, Cost 45.013), 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

3655 VISTA AVE
SAINT LOUIS, MO 63110

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%
Specialty average (est.)

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.

24,583
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.

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

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 88.9211/100 (Quality: 84.7241, Cost: 45.013). 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 24,583 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.
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

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