2026 NPPES data Registered Nurse NPI 1265861215
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Stefanie Kelly

Registered Nurse in Washington, District of Columbia. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 175,652 in Registered Nurse, 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
341
Medicare Part D claims · 48 beneficiaries · Registered Nurse avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.6/100
▼ 9 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Stefanie Kelly reported a CMS MIPS final score of 73.6/100 - below the 83.1 national average - and filed 341 Medicare Part D claims in 2023.

73.6/100
MIPS score · -9 vs avg
341
Part D claims, 2023
83%
generic prescribing

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.

Stefanie Kelly's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

74 11th percentile higher than 11% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where Stefanie Kelly sits

This provider among registered nurse peers

Across the 3,327 registered nurse providers who report both Medicare Part D prescribing and a MIPS quality score, Stefanie Kelly writes more Part D claims than 50% of them and scores higher on MIPS quality than 10% - placing this provider in the high-volume, lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 22Stefanie Kelly-Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 10
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one registered nurse peer from a representative sample of 60; the gold marker is Stefanie Kelly. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Stefanie Kelly?

Below national average

NPI registry status

Active

Issued 11/09/2013

NPI 1265861215

Primary specialty

Registered Nurse

High-volume

175,652 US NPIs in this specialty

Medicare Part D claims

341 66% vs specialty avg

2023 prescription claims

Specialty avg: 1,000

MIPS final score

73.6/100 9.5 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in District of Columbia

How Registered Nurse compares to other specialties among District of Columbia providers

District of Columbia providers

Largest specialties in District of Columbia (% of in-state providers)

Home Health Aide - 20.8%Home Health Aide20.8%Personal Care Attendant - 11.5%Personal Care Attendant11.5%Case Manager/Care Coordinator - 7%Case Manager/Care Coordinator7%Student in an Organized Health Care Education/Training Program - 6.4%Student in an Organized Health Care Education/Training Program6.4%Clinical Social Worker - 4%Clinical Social Worker4%Internal Medicine Physician - 2.1%Internal Medicine Physician2.1%Registered Nurse - 1.7%Registered Nurse1.7%
Largest specialties in District of Columbia (% of in-state providers)

Medicare quality performance, MIPS

Stefanie Kelly's 2023 MIPS final score plotted against the Registered Nurse national average

Below national average
MIPS Final Score
73.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Registered Nurse) - 73.6/100 vs national avg 83.1

0%100%National avg83%73.6%
MIPS final score (Registered Nurse) - 73.6/100 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).

Stefanie Kelly appears in the CMS NPPES registry as a Registered Nurse provider at 1720 NEWTON ST NW, Washington, DC, 20010, with a listed phone of (646) 202-3237. NPI 1265861215 was issued on 11/09/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Kelly 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 341 prescription claims written by this provider, covering 48 Medicare beneficiaries and totaling roughly $586K 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 73.6/100 for the 2023 performance year (Quality 63.1), compared with the national average of 83.1.

Registered Nurse is a high-volume specialty nationwide, with 175,652 enrolled providers across 56 states and an average of 1,000 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

1720 NEWTON ST NW
Washington, DC 20010

Provider Details

NPI 1265861215
Specialty Registered Nurse
Gender Female
NPI Issued 11/09/2013

CMS Quality Score (MIPS)

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

73.6025
Final Score
Avg: 83.1
63.0617
Quality

Reporting: Group practice

Brand vs generic prescribing mix · Typical

Stefanie Kelly - brand share 17.0%
Registered Nurse average

17% brand-name claims vs 83% generic, on 341 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.

341
Total Claims
$586K
Total Drug Cost
48
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
364
Total Day Supply
10,455
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$574K
Generic Drug Cost
$11K
Antibiotic Claims
37

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
4.14
Gender Split
33% female / 67% male

Top Prescribed Drugs (Medicare Part D)

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

What Stefanie Kelly 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
Acyclovir
56
Jakafi
Ruxolitinib Phosphate
28
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
23
Tacrolimus
23
Pantoprazole Sodium
22
Amlodipine Besylate
18
Pregabalin
13
Vitamin D2
Ergocalciferol (Vitamin D2)
11

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

Registered Nurse Overview

How Stefanie Kelly fits within the Registered Nurse landscape nationally.

175,652
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider

Stefanie Kelly's 341 claims are below the specialty average of 1,000.

Nearby Registered Nurse Providers in District of Columbia

Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as Kelly.

Compare Registered Nurse 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 District of Columbia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Registered Nurse 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 Stefanie Kelly's specialty?
Stefanie Kelly specializes in Registered Nurse and practices in Washington, District of Columbia.
How much does Stefanie Kelly prescribe under Medicare Part D?
In 2023, Stefanie Kelly wrote 341 Medicare Part D claims totaling $586K in drug costs for 48 beneficiaries.
What is Stefanie Kelly's Medicare quality score?
Stefanie Kelly has a CMS MIPS Final Score of 73.6/100 (Quality: 63.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Stefanie Kelly located?
Stefanie Kelly is located at 1720 NEWTON ST NW, Washington, DC, 20010. Phone: (646) 202-3237.
What is Stefanie Kelly's NPI number?
Stefanie Kelly's National Provider Identifier (NPI) is 1265861215, issued on 11/09/2013.
Does Stefanie Kelly prescribe more brand-name or generic drugs?
Stefanie Kelly's prescribing is 17% brand-name and 83% generic drugs by claim count, with $574K in brand drug costs.
How many Registered Nurse providers are there in the US?
There are 175,652 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does Stefanie Kelly prescribe most often?
Based on 2023 Medicare Part D data, Stefanie Kelly's most frequently prescribed drugs include Acyclovir, Jakafi, Sulfamethoxazole-Trimethoprim. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Stefanie Kelly accept Medicare?
Stefanie Kelly appears in CMS Medicare data with 341 Part D claims and 48 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Stefanie Kelly's credentials?
Stefanie Kelly's NPI is 1265861215. 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

Compiled from official public sources by the PlainDoctor editorial team.