2026 NPPES data Clinical Nurse Specialist NPI 1790940252 CNS
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STACEY SEGGELKE, CNS

Clinical Nurse Specialist in AURORA, Colorado. 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
191
Medicare Part D claims · 36 beneficiaries · Clinical Nurse Specialist avg: 953
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.5814/100
▲ 14 pts above national avg 83.1 · [object Object]
What the federal data reveals: STACEY SEGGELKE, CNS is a Clinical Nurse Specialist ([object Object]) practicing in AURORA, Colorado with a Medicare Part D prescribing footprint of 191 claims across 36 beneficiaries — 45% brand-name prescribing . Their CMS MIPS Final Score of 97.5814/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: STACEY SEGGELKE, CNS reported a CMS MIPS final score of 97.5814 out of 100, above the 83.1 national average, and filed 191 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

STACEY SEGGELKE, CNS at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/24/2008

NPI 1790940252

Primary specialty

Clinical Nurse Specialist

Niche

1,708 US NPIs in this specialty

Medicare Part D claims

191 80% vs specialty avg

2023 prescription claims

Specialty avg: 953

MIPS final score

97.5814/100 14.481400000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Colorado

How Clinical Nurse Specialist compares to other specialties among Colorado providers

Colorado providers

Clinical Nurse Specialist share within Colorado

1. Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Nurse Specialist share within Colorado

Medicare quality performance — MIPS

STACEY SEGGELKE, CNS's 2023 MIPS final score plotted against the Clinical Nurse Specialist national average

High performer (top quartile)
MIPS Final Score
97.5814/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Nurse Specialist) — 97.5814/100 vs national avg 83.1

0%100%National avg83%97.6%
MIPS final score (Clinical Nurse Specialist) — 97.5814/100 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).

STACEY SEGGELKE, CNS is a Clinical Nurse Specialist provider practicing in AURORA, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: CNS. NPI: 1790940252. 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.

STACEY SEGGELKE, CNS appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding CNS credentials at 12605 E 16TH AVE, AURORA, CO, 80045, with a listed phone of (720) 848-0000. NPI 1790940252 was issued on 07/24/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SEGGELKE 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 191 prescription claims written by this provider, covering 36 Medicare beneficiaries and totaling roughly $121K in drug spend, split 45% brand-name and 55% 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 97.5814/100 for the 2023 performance year (Quality 86.5348), compared with the national average of 83.1.

Clinical Nurse Specialist is a narrow specialty nationwide, with 1,708 enrolled providers across 49 states and an average of 953 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

12605 E 16TH AVE
AURORA, CO 80045

Provider Details

NPI 1790940252
Specialty Clinical Nurse Specialist
Credentials CNS
Gender Female
NPI Issued 07/24/2008

CMS Quality Score (MIPS)

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

97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where STACEY SEGGELKE, CNS 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.

UNIVERSITY PHYSICIANS INCORPORATED
AURORA, CO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

STACEY SEGGELKE, CNS — brand share 45.0%
Specialty average (est.)

45% brand-name claims vs 55% generic, on 191 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.

191
Total Claims
$121K
Total Drug Cost
36
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
472
Total Day Supply
13,973
Brand vs Generic
45% brand / 55% generic
Brand Drug Cost
$105K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
64.4 years
Avg HCC Risk Score
4.92
Gender Split
39% female / 61% male
Age Distribution
<65: 15, 65-74: 14, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Simvastatin
11
Lantus Solostar
"Insulin Glargine
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Clinical Nurse Specialist Overview

How STACEY SEGGELKE, CNS fits within the Clinical Nurse Specialist landscape nationally.

1,708
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider

STACEY SEGGELKE, CNS's 191 claims are below the specialty average of 953.

Nearby Clinical Nurse Specialist Providers in Colorado

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

Compare Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is STACEY SEGGELKE, CNS's specialty?
STACEY SEGGELKE, CNS specializes in Clinical Nurse Specialist and practices in AURORA, Colorado. Credentials: CNS.
How much does STACEY SEGGELKE, CNS prescribe under Medicare Part D?
In 2023, STACEY SEGGELKE, CNS wrote 191 Medicare Part D claims totaling $121K in drug costs for 36 beneficiaries.
What is STACEY SEGGELKE, CNS's Medicare quality score?
STACEY SEGGELKE, CNS has a CMS MIPS Final Score of 97.5814/100 (Quality: 86.5348). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is STACEY SEGGELKE, CNS located?
STACEY SEGGELKE, CNS is located at 12605 E 16TH AVE, AURORA, CO, 80045. Phone: (720) 848-0000.
What is STACEY SEGGELKE, CNS's NPI number?
STACEY SEGGELKE, CNS's National Provider Identifier (NPI) is 1790940252, issued on 07/24/2008.
Does STACEY SEGGELKE, CNS prescribe more brand-name or generic drugs?
STACEY SEGGELKE, CNS's prescribing is 45% brand-name and 55% generic drugs by claim count, with $105K in brand drug costs.
How many Clinical Nurse Specialist providers are there in the US?
There are 1,708 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does STACEY SEGGELKE, CNS prescribe most often?
Based on 2023 Medicare Part D data, STACEY SEGGELKE, CNS's most frequently prescribed drugs include Simvastatin, Lantus Solostar. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STACEY SEGGELKE, CNS accept Medicare?
STACEY SEGGELKE, CNS appears in CMS Medicare data with 191 Part D claims and 36 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STACEY SEGGELKE, CNS's credentials?
STACEY SEGGELKE, CNS's NPI is 1790940252 with credentials CNS. 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