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2026 NPPES data Family Nurse Practitioner NPI 1265874655 FNP-C
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Tammy Earnest, FNP-C

Family Nurse Practitioner in Ketchikan, Alaska.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 216,959 in Family 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
102
Medicare Part D claims · 38 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
97.2/100
▲ 14 pts above national avg 83.5 · Exceptional
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Compiled from official public sources by the editorial process.

What the federal data shows

Tammy Earnest, FNP-C reported a CMS MIPS final score of 97.2/100 - above the 83.5 national average - and filed 102 Medicare Part D claims in 2024.

97.2/100
MIPS score · +14 vs avg
102
Part D claims, 2024
≥84th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Tammy Earnest, FNP-C

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1265874655), first enumerated 07/25/2013.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 102 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 97.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

Compare Earnest with other Family Nurse Practitioner providers

Same primary specialty, same federal CMS NPPES roster.

All 18 Family Nurse Practitioner providers in Ketchikan, AK →

Also enrolled in Alaska

Other specialties in Ketchikan: Mental Health Counselor (243) · Case Manager/Care Coordinator (42) · Registered Nurse (31) · Community Health Worker (26)

CMS NPPES provider registry desk

NPI 1265874655 · Family Nurse Practitioner

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ELITE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1265874655
  • ENUM-MID 2013
  • TAX-MEGA 217K Family Nurse
  • MIPS-ELITE 97.2/100
  • RX-LIGHT 102
  • BOOK-LIGHT 557 in Alaska
  • PHOTO-FINISH Teresa Wolford, CRNP · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Tammy Earnest, FNP-C's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

97 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Tammy Earnest, FNP-C sits

This provider among family nurse practitioner peers

Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Tammy Earnest, FNP-C writes more Part D claims than 22% of them and scores higher on MIPS quality than 85% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Tammy Earnest, FNP-C, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 85
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Tammy Earnest, 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 Tammy Earnest, FNP-C?

High performer (top quartile)

NPI registry status

Active

Issued 07/25/2013

NPI 1265874655

Primary specialty

Family Nurse Practitioner

High-volume

216,959 US NPIs in this specialty

Medicare Part D claims

102 92% vs specialty avg

2024 prescription claims

Specialty avg: 1,302

MIPS final score

97.2/100 13.7 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Alaska

How Family Nurse Practitioner compares to other specialties among Alaska providers

Alaska providers
Community Health Worker7.8%Mental Health Counselor7.6%Case Manager/Care Coordinator6.1%Behavior Technician4.8%Registered Nurse4.7%Counselor4.2%Family Nurse Practitioner1.9%
Largest specialties in Alaska (% of in-state providers)

Medicare quality performance, MIPS

Tammy Earnest, FNP-C's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
97.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%97.2%
MIPS final score (Family Nurse Practitioner) - 97.2/100 vs national avg 83.5
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).

Practice Address

120 CARLANNA LAKE RD
Ketchikan, AK 99901
(907) 247-9355

Provider Details

NPI 1265874655
Specialty Family Nurse Practitioner
Credentials FNP-C
Gender Female
NPI Issued 07/25/2013

CMS Quality Score (MIPS)

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

97.1588
Final Score
Measured-score avg: 83.5
96.694
Quality
86.573
Cost
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

102
Total Claims
$18K
Total Drug Cost
38
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
128.133
Total Day Supply
2,508
Generic Drug Cost
$1K
Antibiotic Claims
29

Patient Demographics

Average Patient Age
69.0 years
Avg HCC Risk Score
0.74
Gender Split
68% female / 32% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

Drug Claims
Metoprolol Tartrate
 12

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

More Family Nurse Practitioner in AK → All providers in Alaska → Compare specialties →

Family Nurse Practitioner Overview

How Tammy Earnest, FNP-C fits within the Family Nurse Practitioner landscape nationally.

216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider

Tammy Earnest, FNP-C's 102 claims are below the specialty average of 1,302.

Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Earnest, both outside Alaska so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (97.2 here).

Kimberly Barnes 97.2 GA Carmen Plott 97.2 MI Alicia Hollars 97.2 IN Teresa Wolford 97.2 MD

Same NPPES enumeration year (2013)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Joy Fernandez De Narayan Atlanta, GA Janell Durnen Greeley, CO Eliza McHard Tenney Houston, TX Ashley Pourciau New Roads, LA

Nearby Family Nurse Practitioner Providers in Alaska

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

One of 557 Family Nurse Practitioner providers enrolled in Alaska, 11 are shown on this page.

Debra Allen
FNP-C
Fairbanks, AK
Jennifer Allen
NP
Anchorage, AK
Lisa An
FNP
Anchorage, AK
Christi Angelo
APRN-F/AC
Palmer, AK
Marti Anliker
APRN
Wasilla, AK

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Tammy Earnest, FNP-C's specialty? ▼
Tammy Earnest, FNP-C specializes in Family Nurse Practitioner and practices in Ketchikan, Alaska. Credentials: FNP-C.
How much does Tammy Earnest, FNP-C prescribe under Medicare Part D? ▼
In 2024, Tammy Earnest, FNP-C wrote 102 Medicare Part D claims totaling $18K in drug costs for 38 beneficiaries.
What is Tammy Earnest, FNP-C's Medicare quality score? ▼
Tammy Earnest, FNP-C has a CMS MIPS Final Score of 97.2/100 (Quality: 96.7, Cost: 86.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Tammy Earnest, FNP-C located? ▼
Tammy Earnest, FNP-C is located at 120 CARLANNA LAKE RD, Ketchikan, AK, 99901. Phone: (907) 247-9355.
What is Tammy Earnest, FNP-C's NPI number? ▼
Tammy Earnest, FNP-C's National Provider Identifier (NPI) is 1265874655, issued on 07/25/2013.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Tammy Earnest, FNP-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Tammy Earnest, FNP-C's most frequently prescribed drugs include Metoprolol Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Tammy Earnest, FNP-C accept Medicare? ▼
Tammy Earnest, FNP-C appears in CMS Medicare data with 102 Part D claims and 38 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Tammy Earnest, FNP-C's credentials? ▼
Tammy Earnest, FNP-C's NPI is 1265874655 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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

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 August 2026.