2026 NPPES data Psychiatric/Mental Health Clinical Nurse Specialist NPI 1013648286 PMHNP-BC
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TARI MCADAM, PMHNP-BC

Psychiatric/Mental Health Clinical Nurse Specialist in POWELL, Wyoming. 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
242
Medicare Part D claims · 24 beneficiaries · Psychiatric/Mental Health Clinical Nurse Specialist avg: 1K
MIPS score
71.7793/100
▼ 11 pts below national avg 83.1 · [object Object]

What the federal data shows

TARI MCADAM, PMHNP-BC reported a CMS MIPS final score of 71.7793/100 — below the 83.1 national average — and filed 242 Medicare Part D claims in 2023.

71.7793/100
MIPS score · -11 vs avg
242
Part D claims, 2023

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.

TARI MCADAM, PMHNP-BC's MIPS score vs every scored U.S. clinician

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

72 9th percentile higher than 9% 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. 90–100: 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 TARI MCADAM, PMHNP-BC?

Below national average

NPI registry status

Active

Issued 06/20/2022

NPI 1013648286

Primary specialty

Psychiatric/Mental Health Clinical Nurse Specialist

Niche

980 US NPIs in this specialty

Medicare Part D claims

242 77% vs specialty avg

2023 prescription claims

Specialty avg: 1,050

MIPS final score

71.7793/100 11.320699999999988% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Wyoming

How Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among Wyoming providers

Wyoming providers

Psychiatric/Mental Health Clinical Nurse Specialist share within Wyoming

1. Psychiatric/Mental Health Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Clinical Nurse Specialist share within Wyoming

Medicare quality performance — MIPS

TARI MCADAM, PMHNP-BC's 2023 MIPS final score plotted against the Psychiatric/Mental Health Clinical Nurse Specialist national average

Below national average
MIPS Final Score
71.7793/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatric/Mental Health Clinical Nurse Specialist) — 71.7793/100 vs national avg 83.1

0%100%National avg83%71.8%
MIPS final score (Psychiatric/Mental Health Clinical Nurse Specialist) — 71.7793/100 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).

TARI MCADAM, PMHNP-BC appears in the CMS NPPES registry as a Psychiatric/Mental Health Clinical Nurse Specialist provider holding PMHNP-BC credentials at 777 AVENUE H, POWELL, WY, 82435, with a listed phone of (307) 754-2267. NPI 1013648286 was issued on 06/20/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCADAM 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 242 prescription claims written by this provider, covering 24 Medicare beneficiaries and totaling roughly $20K in drug spend. 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 71.7793/100 for the 2023 performance year (Quality 77.3079, Cost 28.623), compared with the national average of 83.1.

Psychiatric/Mental Health Clinical Nurse Specialist is a narrow specialty nationwide, with 980 enrolled providers across 50 states and an average of 1,050 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

777 AVENUE H
POWELL, WY 82435

Provider Details

NPI 1013648286
Specialty Psychiatric/Mental Health Clinical Nurse Specialist
Credentials PMHNP-BC
Gender Female
NPI Issued 06/20/2022

CMS Quality Score (MIPS)

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

71.7793
Final Score
Avg: 83.1
77.3079
Quality
28.623
Cost
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

242
Total Claims
$20K
Total Drug Cost
24
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
270
Total Day Supply
7,838
Generic Drug Cost
$16K

Patient Demographics

Average Patient Age
65.8 years
Avg HCC Risk Score
1.03
Gender Split
54% female / 46% male

Top Prescribed Drugs (Medicare Part D)

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

What TARI MCADAM, PMHNP-BC 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
Aripiprazole
37
Lurasidone Hcl
23
Lamotrigine
19
Sertraline Hcl
18
Quetiapine Fumarate
16
Paliperidone Er
Paliperidone
13

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

Psychiatric/Mental Health Clinical Nurse Specialist Overview

How TARI MCADAM, PMHNP-BC fits within the Psychiatric/Mental Health Clinical Nurse Specialist landscape nationally.

980
Psychiatric/Mental Health Clinical Nurse Specialist Providers in US
50
States with Psychiatric/Mental Health Clinical Nurse Specialist
1,050
Avg Claims per Provider

TARI MCADAM, PMHNP-BC's 242 claims are below the specialty average of 1,050.

Nearby Psychiatric/Mental Health Clinical Nurse Specialist Providers in Wyoming

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

Compare Psychiatric/Mental Health Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is TARI MCADAM, PMHNP-BC's specialty?
TARI MCADAM, PMHNP-BC specializes in Psychiatric/Mental Health Clinical Nurse Specialist and practices in POWELL, Wyoming. Credentials: PMHNP-BC.
How much does TARI MCADAM, PMHNP-BC prescribe under Medicare Part D?
In 2023, TARI MCADAM, PMHNP-BC wrote 242 Medicare Part D claims totaling $20K in drug costs for 24 beneficiaries.
What is TARI MCADAM, PMHNP-BC's Medicare quality score?
TARI MCADAM, PMHNP-BC has a CMS MIPS Final Score of 71.7793/100 (Quality: 77.3079, Cost: 28.623). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TARI MCADAM, PMHNP-BC located?
TARI MCADAM, PMHNP-BC is located at 777 AVENUE H, POWELL, WY, 82435. Phone: (307) 754-2267.
What is TARI MCADAM, PMHNP-BC's NPI number?
TARI MCADAM, PMHNP-BC's National Provider Identifier (NPI) is 1013648286, issued on 06/20/2022.
How many Psychiatric/Mental Health Clinical Nurse Specialist providers are there in the US?
There are 980 Psychiatric/Mental Health Clinical Nurse Specialist providers across 50 states in the US. The average Psychiatric/Mental Health Clinical Nurse Specialist provider writes 1,050 Medicare Part D claims per year.
What drugs does TARI MCADAM, PMHNP-BC prescribe most often?
Based on 2023 Medicare Part D data, TARI MCADAM, PMHNP-BC's most frequently prescribed drugs include Aripiprazole, Lurasidone Hcl, Lamotrigine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TARI MCADAM, PMHNP-BC accept Medicare?
TARI MCADAM, PMHNP-BC appears in CMS Medicare data with 242 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 TARI MCADAM, PMHNP-BC's credentials?
TARI MCADAM, PMHNP-BC's NPI is 1013648286 with credentials PMHNP-BC. 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