2026 NPPES data General Practice Registered Nurse NPI 1013494558 APRN-CNP
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THERESA EDWARDS, APRN-CNP

General Practice Registered Nurse in SIDNEY, Ohio. 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
6K
Medicare Part D claims · 700 beneficiaries · General Practice Registered Nurse avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.7849/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$154.27
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: THERESA EDWARDS, APRN-CNP is a General Practice Registered Nurse ([object Object]) practicing in SIDNEY, Ohio with a Medicare Part D prescribing footprint of 6K claims across 700 beneficiaries — 10% brand-name prescribing . Their CMS MIPS Final Score of 84.7849/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $154.27 across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: THERESA EDWARDS, APRN-CNP reported a CMS MIPS final score of 84.7849 out of 100, above the 83.1 national average, and filed 6,388 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

THERESA EDWARDS, APRN-CNP at a glance

Near national average

NPI registry status

Active

Issued 07/27/2018

NPI 1013494558

Primary specialty

General Practice Registered Nurse

Mid-sized

5,478 US NPIs in this specialty

Medicare Part D claims

6,388 438% vs specialty avg

2023 prescription claims

Specialty avg: 1,187

MIPS final score

84.7849/100 1.684899999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How General Practice Registered Nurse compares to other specialties among Ohio providers

Ohio providers

General Practice Registered Nurse share within Ohio

1. General Practice Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Registered Nurse share within Ohio

Medicare quality performance — MIPS

THERESA EDWARDS, APRN-CNP's 2023 MIPS final score plotted against the General Practice Registered Nurse national average

Near national average
MIPS Final Score
84.7849/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Registered Nurse) — 84.7849/100 vs national avg 83.1

0%100%National avg83%84.8%
MIPS final score (General Practice Registered Nurse) — 84.7849/100 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).

THERESA EDWARDS, APRN-CNP is a General Practice Registered Nurse provider practicing in SIDNEY, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APRN-CNP. NPI: 1013494558. 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.

THERESA EDWARDS, APRN-CNP appears in the CMS NPPES registry as a General Practice Registered Nurse provider holding APRN-CNP credentials at 1205 FAIRINGTON DR, SIDNEY, OH, 45365, with a listed phone of (937) 492-8431. NPI 1013494558 was issued on 07/27/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EDWARDS 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 6,388 prescription claims written by this provider, covering 700 Medicare beneficiaries and totaling roughly $456K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 2.6%. 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 84.7849/100 for the 2023 performance year (Quality 75.0969, Cost 74.1861), compared with the national average of 83.1.

General Practice Registered Nurse is a mid-sized specialty nationwide, with 5,478 enrolled providers across 55 states and an average of 1,187 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

1205 FAIRINGTON DR
SIDNEY, OH 45365

Provider Details

NPI 1013494558
Specialty General Practice Registered Nurse
Credentials APRN-CNP
Gender Female
NPI Issued 07/27/2018

CMS Quality Score (MIPS)

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

84.7849
Final Score
Avg: 83.1
75.0969
Quality
74.1861
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where THERESA EDWARDS, APRN-CNP 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.

WILSON CARE, LLC
SIDNEY, OH

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for THERESA EDWARDS, APRN-CNP. Source: openpaymentsdata.cms.gov.

Total received

$154

Largest payer

Lilly USA, LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to THERESA EDWARDS, APRN-CNP. To verify THERESA EDWARDS, APRN-CNP's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

THERESA EDWARDS, APRN-CNP — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 6,388 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.

6,388
Total Claims
$456K
Total Drug Cost
700
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,619
Total Day Supply
395,232
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$355K
Generic Drug Cost
$99K
Opioid Claims
165 (2.6% rate)
Antibiotic Claims
146

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
1.15
Gender Split
54% female / 46% male
Age Distribution
<65: 135, 65-74: 344, 75-84: 167, 85+: 54

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
356
Lisinopril
277
Levothyroxine Sodium
207
Omeprazole
203
Amlodipine Besylate
181
Metformin Hcl
170
Losartan Potassium
155
Gabapentin
153
Albuterol Sulfate Hfa
Albuterol Sulfate
129
Pantoprazole Sodium
122

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

General Practice Registered Nurse Overview

How THERESA EDWARDS, APRN-CNP fits within the General Practice Registered Nurse landscape nationally.

5,478
General Practice Registered Nurse Providers in US
55
States with General Practice Registered Nurse
1,187
Avg Claims per Provider

THERESA EDWARDS, APRN-CNP's 6,388 claims are above the specialty average of 1,187.

Nearby General Practice Registered Nurse Providers in Ohio

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

Compare General Practice Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is THERESA EDWARDS, APRN-CNP's specialty?
THERESA EDWARDS, APRN-CNP specializes in General Practice Registered Nurse and practices in SIDNEY, Ohio. Credentials: APRN-CNP.
How much does THERESA EDWARDS, APRN-CNP prescribe under Medicare Part D?
In 2023, THERESA EDWARDS, APRN-CNP wrote 6,388 Medicare Part D claims totaling $456K in drug costs for 700 beneficiaries.
What is THERESA EDWARDS, APRN-CNP's Medicare quality score?
THERESA EDWARDS, APRN-CNP has a CMS MIPS Final Score of 84.7849/100 (Quality: 75.0969, Cost: 74.1861). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THERESA EDWARDS, APRN-CNP located?
THERESA EDWARDS, APRN-CNP is located at 1205 FAIRINGTON DR, SIDNEY, OH, 45365. Phone: (937) 492-8431.
What is THERESA EDWARDS, APRN-CNP's NPI number?
THERESA EDWARDS, APRN-CNP's National Provider Identifier (NPI) is 1013494558, issued on 07/27/2018.
Does THERESA EDWARDS, APRN-CNP prescribe more brand-name or generic drugs?
THERESA EDWARDS, APRN-CNP's prescribing is 10% brand-name and 90% generic drugs by claim count, with $355K in brand drug costs.
Does THERESA EDWARDS, APRN-CNP prescribe opioids?
Yes, THERESA EDWARDS, APRN-CNP had 165 opioid claims in 2023 with an opioid prescribing rate of 2.6%.
How many General Practice Registered Nurse providers are there in the US?
There are 5,478 General Practice Registered Nurse providers across 55 states in the US. The average General Practice Registered Nurse provider writes 1,187 Medicare Part D claims per year.
What drugs does THERESA EDWARDS, APRN-CNP prescribe most often?
Based on 2023 Medicare Part D data, THERESA EDWARDS, APRN-CNP's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THERESA EDWARDS, APRN-CNP accept Medicare?
THERESA EDWARDS, APRN-CNP appears in CMS Medicare data with 6,388 Part D claims and 700 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THERESA EDWARDS, APRN-CNP's credentials?
THERESA EDWARDS, APRN-CNP's NPI is 1013494558 with credentials APRN-CNP. 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