2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1104225846 APRN
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TIFFANY MELLER, APRN

Adult Health Clinical Nurse Specialist in COLUMBIA, Missouri. 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
1K
Medicare Part D claims · 266 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$580.07
10 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TIFFANY MELLER, APRN reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 1,110 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
1K
Part D claims, 2023
$580.07
industry payments (Sunshine Act)

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.

TIFFANY MELLER, APRN's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 TIFFANY MELLER, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 08/19/2014

NPI 1104225846

Primary specialty

Adult Health Clinical Nurse Specialist

Niche

1,375 US NPIs in this specialty

Medicare Part D claims

1,110 2% vs specialty avg

2023 prescription claims

Specialty avg: 1,088

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Adult Health Clinical Nurse Specialist compares to other specialties among Missouri providers

Missouri providers

Adult Health Clinical Nurse Specialist share within Missouri

1. Adult Health Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Clinical Nurse Specialist share within Missouri

Medicare quality performance — MIPS

TIFFANY MELLER, APRN's 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

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

0%100%National avg83%99%
MIPS final score (Adult Health Clinical Nurse Specialist) — 100/100 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).

TIFFANY MELLER, APRN appears in the CMS NPPES registry as a Adult Health Clinical Nurse Specialist provider holding APRN credentials at 1 HOSPITAL DR, COLUMBIA, MO, 65212, with a listed phone of (573) 882-1308. NPI 1104225846 was issued on 08/19/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MELLER 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 1,110 prescription claims written by this provider, covering 266 Medicare beneficiaries and totaling roughly $207K in drug spend, with an opioid prescribing rate of 1.5%. 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Adult Health Clinical Nurse Specialist is a narrow specialty nationwide, with 1,375 enrolled providers across 49 states and an average of 1,088 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

1 HOSPITAL DR
COLUMBIA, MO 65212

Provider Details

NPI 1104225846
Specialty Adult Health Clinical Nurse Specialist
Credentials APRN
Gender Female
NPI Issued 08/19/2014

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TIFFANY MELLER, APRN 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.

THE CURATORS OF THE UNIVERSITY OF MISSOURI
COLUMBIA, MO

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 TIFFANY MELLER, APRN. Source: openpaymentsdata.cms.gov.

Total received

$580

Largest payer

W. L. Gore & Associates, Inc.

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.

Medicare Part D Prescribing Data

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

1,110
Total Claims
$207K
Total Drug Cost
266
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,102
Total Day Supply
58,750
Generic Drug Cost
$17K
Opioid Claims
17 (1.5% rate)
Antibiotic Claims
60

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
2.12
Gender Split
44% female / 56% male
Age Distribution
<65: 64, 65-74: 117, 75-84: 74, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

What TIFFANY MELLER, APRN 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
Clopidogrel
Clopidogrel Bisulfate
507
Pantoprazole Sodium
166
Eliquis
Apixaban
124
Xarelto
Rivaroxaban
89
Prednisone
33
Cilostazol
19
Cefadroxil
17
Doxycycline Hyclate
16
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
15
Tramadol Hcl
11

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

Adult Health Clinical Nurse Specialist Overview

How TIFFANY MELLER, APRN fits within the Adult Health Clinical Nurse Specialist landscape nationally.

1,375
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,088
Avg Claims per Provider

TIFFANY MELLER, APRN's 1,110 claims are above the specialty average of 1,088.

Nearby Adult Health Clinical Nurse Specialist Providers in Missouri

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

Compare Adult Health Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is TIFFANY MELLER, APRN's specialty?
TIFFANY MELLER, APRN specializes in Adult Health Clinical Nurse Specialist and practices in COLUMBIA, Missouri. Credentials: APRN.
How much does TIFFANY MELLER, APRN prescribe under Medicare Part D?
In 2023, TIFFANY MELLER, APRN wrote 1,110 Medicare Part D claims totaling $207K in drug costs for 266 beneficiaries.
What is TIFFANY MELLER, APRN's Medicare quality score?
TIFFANY MELLER, APRN has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TIFFANY MELLER, APRN located?
TIFFANY MELLER, APRN is located at 1 HOSPITAL DR, COLUMBIA, MO, 65212. Phone: (573) 882-1308.
What is TIFFANY MELLER, APRN's NPI number?
TIFFANY MELLER, APRN's National Provider Identifier (NPI) is 1104225846, issued on 08/19/2014.
Does TIFFANY MELLER, APRN prescribe opioids?
Yes, TIFFANY MELLER, APRN had 17 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Adult Health Clinical Nurse Specialist providers are there in the US?
There are 1,375 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,088 Medicare Part D claims per year.
What drugs does TIFFANY MELLER, APRN prescribe most often?
Based on 2023 Medicare Part D data, TIFFANY MELLER, APRN's most frequently prescribed drugs include Clopidogrel, Pantoprazole Sodium, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TIFFANY MELLER, APRN accept Medicare?
TIFFANY MELLER, APRN appears in CMS Medicare data with 1,110 Part D claims and 266 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIFFANY MELLER, APRN's credentials?
TIFFANY MELLER, APRN's NPI is 1104225846 with credentials APRN. 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