NPI registry status
Active
2026 NPPES data Emergency Registered Nurse NPI 1992474795 FNP-C
Verify on CMS → Stephanie Spencer, FNP-C
Emergency Registered Nurse in Bozeman, Montana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,350 in Emergency 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
303
Medicare Part D claims · 211 beneficiaries · Emergency Registered Nurse avg: 710
Generic prescribing
84%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
46.9/100
▼ 36 pts below national avg 83.1 · Below average
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
Stephanie Spencer, FNP-C reported a CMS MIPS final score of 46.9/100 - below the 83.1 national average - and filed 303 Medicare Part D claims in 2023.
- 46.9/100
- MIPS score · -36 vs avg
- 303
- Part D claims, 2023
- 84%
- 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.
Stephanie Spencer, FNP-C's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
47 4th percentile higher than 4% 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 Stephanie Spencer, FNP-C sits
This provider among emergency registered nurse peers
Across the 149 emergency registered nurse providers who report both Medicare Part D prescribing and a MIPS quality score, Stephanie Spencer, FNP-C writes more Part D claims than 62% of them and scores higher on MIPS quality than 1% - 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
Each dot is one emergency registered nurse peer from a representative sample of 60; the gold marker is Stephanie Spencer, FNP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Stephanie Spencer, FNP-C?
Below national averagePrimary specialty
Emergency Registered Nurse
Medicare Part D claims
303 57% vs specialty avg
MIPS final score
46.9/100 36.2 pts vs avg
Specialty distribution in Montana
How Emergency Registered Nurse compares to other specialties among Montana providers
Medicare quality performance, MIPS
Stephanie Spencer, FNP-C's 2023 MIPS final score plotted against the Emergency Registered Nurse national average
- MIPS Final Score
- 46.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Emergency Registered Nurse) - 46.9/100 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).
Stephanie Spencer, FNP-C appears in the CMS NPPES registry as an Emergency Registered Nurse provider holding FNP-C credentials at 319 MINERAL AVE, Bozeman, MT, 59718, with a listed phone of (832) 785-7513. NPI 1992474795 was issued on 09/07/2021.
Medicare Part D records for calendar year 2023 show 303 prescription claims written by this provider, covering 211 Medicare beneficiaries and totaling roughly $4K in drug spend, split 6% brand-name and 84% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 46.9/100 for the 2023 performance year (Quality 55.9, Cost 17.3), compared with the national average of 83.1.
Emergency Registered Nurse is a narrow specialty nationwide, with 4,350 enrolled providers across 54 states and an average of 710 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 | 1992474795 |
|---|---|
| Specialty | Emergency Registered Nurse |
| Credentials | FNP-C |
| Gender | Female |
| NPI Issued | 09/07/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
46.9438
Final Score
Avg: 83.1
55.8529
Quality
17.293
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Stephanie Spencer, FNP-C 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.
Livingston Healthcare
★★★☆☆ 3/5
Livingston, MT
Critical Access Hospitals
CMS CCN: 271317
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 · Generic-heavy
Stephanie Spencer, FNP-C - brand share 6.0%
Emergency Registered Nurse average
6% brand-name claims vs 84% generic, on 303 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.
303
Total Claims
$4K
Total Drug Cost
211
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 304
- Total Day Supply
- 2,720
- Brand vs Generic
- 6% brand / 84% generic
- Brand Drug Cost
- $691
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 121
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 0.88
- Gender Split
- 64% female / 36% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Stephanie Spencer, FNP-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
33 claims
- Paxlovid (Eua)
Paxlovid (Eua)
28 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
26 claims
- Cephalexin
Cephalexin
25 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
20 claims
- Doxycycline Monohy…
Doxycycline Monohydrate
18 claims
- Ofloxacin 13
Ofloxacin
13 claims
- Methylprednisolone 12
Methylprednisolone
12 claims
| Drug | Claims |
|---|---|
| Prednisone | 33 |
| Paxlovid (Eua) Nirmatrelvir/Ritonavir | 28 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 26 |
| Cephalexin | 25 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 20 |
| Doxycycline Monohydrate | 18 |
| Ofloxacin | 13 |
| Methylprednisolone | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Registered Nurse Overview
How Stephanie Spencer, FNP-C fits within the Emergency Registered Nurse landscape nationally.
4,350
Emergency Registered Nurse Providers in US
54
States with Emergency Registered Nurse
710
Avg Claims per Provider
Stephanie Spencer, FNP-C's 303 claims are below the specialty average of 710.
Nearby Emergency Registered Nurse Providers in Montana
Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as Spencer.
Dr. Christin Anderson
R.N
Crow Agency, MT
Dr. Kinsley Anderson
RN
Bozeman, MT
Dr. Jamie Behles
RN
Lame Deer, MT
Dr. Orlena Birdin Ground
RN
Crow Agency, MT
Dr. Felicia Blindman
RN
Lame Deer, MT
Compare Emergency 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 Montana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency 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.
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Frequently Asked Questions
What is Stephanie Spencer, FNP-C's specialty? ▼
Stephanie Spencer, FNP-C specializes in Emergency Registered Nurse and practices in Bozeman, Montana. Credentials: FNP-C.
How much does Stephanie Spencer, FNP-C prescribe under Medicare Part D? ▼
In 2023, Stephanie Spencer, FNP-C wrote 303 Medicare Part D claims totaling $4K in drug costs for 211 beneficiaries.
What is Stephanie Spencer, FNP-C's Medicare quality score? ▼
Stephanie Spencer, FNP-C has a CMS MIPS Final Score of 46.9/100 (Quality: 55.9, Cost: 17.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Stephanie Spencer, FNP-C located? ▼
Stephanie Spencer, FNP-C is located at 319 MINERAL AVE, Bozeman, MT, 59718. Phone: (832) 785-7513.
What is Stephanie Spencer, FNP-C's NPI number? ▼
Stephanie Spencer, FNP-C's National Provider Identifier (NPI) is 1992474795, issued on 09/07/2021.
Does Stephanie Spencer, FNP-C prescribe more brand-name or generic drugs? ▼
Stephanie Spencer, FNP-C's prescribing is 6% brand-name and 84% generic drugs by claim count, with $691 in brand drug costs.
How many Emergency Registered Nurse providers are there in the US? ▼
There are 4,350 Emergency Registered Nurse providers across 54 states in the US. The average Emergency Registered Nurse provider writes 710 Medicare Part D claims per year.
What drugs does Stephanie Spencer, FNP-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Stephanie Spencer, FNP-C's most frequently prescribed drugs include Prednisone, Paxlovid (Eua), Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Stephanie Spencer, FNP-C accept Medicare? ▼
Stephanie Spencer, FNP-C appears in CMS Medicare data with 303 Part D claims and 211 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Stephanie Spencer, FNP-C's credentials? ▼
Stephanie Spencer, FNP-C's NPI is 1992474795 with credentials FNP-C. 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.