2026 NPPES data Gerontology Nurse Practitioner NPI 1841835782 CNP, AGNP-BC
Verify on CMS →

TONI KEEL, CNP, AGNP-BC

Gerontology Nurse Practitioner in SPOKANE, Washington. 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
4K
Medicare Part D claims · 560 beneficiaries · Gerontology Nurse Practitioner avg: 1K
MIPS score
74.5336/100
▼ 9 pts below national avg 83.1 · [object Object]
Industry payments
$147.72
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TONI KEEL, CNP, AGNP-BC is a Gerontology Nurse Practitioner ([object Object]) practicing in SPOKANE, Washington with a Medicare Part D prescribing footprint of 4K claims across 560 beneficiaries . Their CMS MIPS Final Score of 74.5336/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $147.72 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TONI KEEL, CNP, AGNP-BC reported a CMS MIPS final score of 74.5336 out of 100, below the 83.1 national average, and filed 3,997 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

TONI KEEL, CNP, AGNP-BC at a glance

Below national average

NPI registry status

Active

Issued 11/14/2019

NPI 1841835782

Primary specialty

Gerontology Nurse Practitioner

Mid-sized

9,625 US NPIs in this specialty

Medicare Part D claims

3,997 212% vs specialty avg

2023 prescription claims

Specialty avg: 1,283

MIPS final score

74.5336/100 8.566399999999987% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Washington

How Gerontology Nurse Practitioner compares to other specialties among Washington providers

Washington providers

Gerontology Nurse Practitioner share within Washington

1. Gerontology Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gerontology Nurse Practitioner share within Washington

Medicare quality performance — MIPS

TONI KEEL, CNP, AGNP-BC's 2023 MIPS final score plotted against the Gerontology Nurse Practitioner national average

Below national average
MIPS Final Score
74.5336/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gerontology Nurse Practitioner) — 74.5336/100 vs national avg 83.1

0%100%National avg83%74.5%
MIPS final score (Gerontology Nurse Practitioner) — 74.5336/100 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).

TONI KEEL, CNP, AGNP-BC is a Gerontology Nurse Practitioner provider practicing in SPOKANE, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: CNP, AGNP-BC. NPI: 1841835782. 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.

TONI KEEL, CNP, AGNP-BC appears in the CMS NPPES registry as a Gerontology Nurse Practitioner provider holding CNP, AGNP-BC credentials at 914 W CARLISLE AVE, SPOKANE, WA, 99205, with a listed phone of (509) 444-8200. NPI 1841835782 was issued on 11/14/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KEEL 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 3,997 prescription claims written by this provider, covering 560 Medicare beneficiaries and totaling roughly $512K in drug spend, with an opioid prescribing rate of 10.1%. 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 74.5336/100 for the 2023 performance year (Quality 52.7115), compared with the national average of 83.1.

Gerontology Nurse Practitioner is a mid-sized specialty nationwide, with 9,625 enrolled providers across 54 states and an average of 1,283 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

914 W CARLISLE AVE
SPOKANE, WA 99205

Provider Details

NPI 1841835782
Specialty Gerontology Nurse Practitioner
Credentials CNP, AGNP-BC
Gender Female
NPI Issued 11/14/2019

CMS Quality Score (MIPS)

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

74.5336
Final Score
Avg: 83.1
52.7115
Quality

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where TONI KEEL, CNP, AGNP-BC 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.

COMMUNITY HEALTH ASSOCIATION OF SPOKANE
SPOKANE, WA

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 TONI KEEL, CNP, AGNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$148

Largest payer

Pharming Healthcare, 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.

License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to TONI KEEL, CNP, AGNP-BC. To verify TONI KEEL, CNP, AGNP-BC's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

3,997
Total Claims
$512K
Total Drug Cost
560
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,446
Total Day Supply
133,580
Generic Drug Cost
$91K
Opioid Claims
402 (10.1% rate)
Antibiotic Claims
129

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
2.20
Gender Split
68% female / 33% male
Age Distribution
<65: 51, 65-74: 267, 75-84: 171, 85+: 71

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
129
Levothyroxine Sodium
120
Trazodone Hcl
93
Arexvy
Rsvpref3 Antigen/As01e/Pf
90
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
90
Escitalopram Oxalate
89
Duloxetine Hcl
86
Atorvastatin Calcium
79
Tramadol Hcl
79
Lisinopril
78

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

Gerontology Nurse Practitioner Overview

How TONI KEEL, CNP, AGNP-BC fits within the Gerontology Nurse Practitioner landscape nationally.

9,625
Gerontology Nurse Practitioner Providers in US
54
States with Gerontology Nurse Practitioner
1,283
Avg Claims per Provider

TONI KEEL, CNP, AGNP-BC's 3,997 claims are above the specialty average of 1,283.

Nearby Gerontology Nurse Practitioner Providers in Washington

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

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

Frequently Asked Questions

What is TONI KEEL, CNP, AGNP-BC's specialty?
TONI KEEL, CNP, AGNP-BC specializes in Gerontology Nurse Practitioner and practices in SPOKANE, Washington. Credentials: CNP, AGNP-BC.
How much does TONI KEEL, CNP, AGNP-BC prescribe under Medicare Part D?
In 2023, TONI KEEL, CNP, AGNP-BC wrote 3,997 Medicare Part D claims totaling $512K in drug costs for 560 beneficiaries.
What is TONI KEEL, CNP, AGNP-BC's Medicare quality score?
TONI KEEL, CNP, AGNP-BC has a CMS MIPS Final Score of 74.5336/100 (Quality: 52.7115). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TONI KEEL, CNP, AGNP-BC located?
TONI KEEL, CNP, AGNP-BC is located at 914 W CARLISLE AVE, SPOKANE, WA, 99205. Phone: (509) 444-8200.
What is TONI KEEL, CNP, AGNP-BC's NPI number?
TONI KEEL, CNP, AGNP-BC's National Provider Identifier (NPI) is 1841835782, issued on 11/14/2019.
Does TONI KEEL, CNP, AGNP-BC prescribe opioids?
Yes, TONI KEEL, CNP, AGNP-BC had 402 opioid claims in 2023 with an opioid prescribing rate of 10.1%.
How many Gerontology Nurse Practitioner providers are there in the US?
There are 9,625 Gerontology Nurse Practitioner providers across 54 states in the US. The average Gerontology Nurse Practitioner provider writes 1,283 Medicare Part D claims per year.
What drugs does TONI KEEL, CNP, AGNP-BC prescribe most often?
Based on 2023 Medicare Part D data, TONI KEEL, CNP, AGNP-BC's most frequently prescribed drugs include Oxycodone Hcl, Levothyroxine Sodium, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TONI KEEL, CNP, AGNP-BC accept Medicare?
TONI KEEL, CNP, AGNP-BC appears in CMS Medicare data with 3,997 Part D claims and 560 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TONI KEEL, CNP, AGNP-BC's credentials?
TONI KEEL, CNP, AGNP-BC's NPI is 1841835782 with credentials CNP, AGNP-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