2026 NPPES data Nurse Practitioner NPI 1205857547 NP
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Tosha Ulmer, NP

Nurse Practitioner in Fargo, North Dakota. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 87,227 in 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
23
Medicare Part D claims · 12 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
83/100
▼ 0 pts below national avg 83.1 · Above neutral
Industry payments
$53.98
3 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Tosha Ulmer, NP reported a CMS MIPS final score of 83/100 — below the 83.1 national average — and filed 23 Medicare Part D claims in 2023.

83/100
MIPS score · 0 vs avg
23
Part D claims, 2023
$53.98
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.

Tosha Ulmer, NP's MIPS score vs every scored U.S. clinician

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

83 39th percentile higher than 39% 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%). This entry sits in this band. 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

Where Tosha Ulmer, NP sits

This provider among nurse practitioner peers

Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Tosha Ulmer, NP writes more Part D claims than 4% of them and scores higher on MIPS quality than 43% — placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 43Tosha Ulmer, NP — Part D claim volume — percentile in specialty: 4 · MIPS quality — percentile: 43
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one nurse practitioner peer from a representative sample of 60; the gold marker is Tosha Ulmer, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Tosha Ulmer, NP?

Near national average

NPI registry status

Active

Issued 07/22/2006

NPI 1205857547

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

23 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

83/100 0.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in North Dakota

How Nurse Practitioner compares to other specialties among North Dakota providers

North Dakota providers

Largest specialties in North Dakota (% of in-state providers)

Personal Care Attendant — 7.3%Personal Care Attendant7.3%Case Manager/Care Coordinator — 6.4%Case Manager/Care Coordinator6.4%Physical Therapist — 4.7%Physical Therapist4.7%Speech-Language Pathologist — 4.6%Speech-Language Pathologist4.6%Registered Nurse — 4.2%Registered Nurse4.2%Social Worker — 4.1%Social Worker4.1%Nurse Practitioner — 1.8%Nurse Practitioner1.8%
Largest specialties in North Dakota (% of in-state providers)

Medicare quality performance — MIPS

Tosha Ulmer, NP's 2023 MIPS final score plotted against the Nurse Practitioner national average

Near national average
MIPS Final Score
83/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 83/100 vs national avg 83.1

0%100%National avg83%83%
MIPS final score (Nurse Practitioner) — 83/100 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).

Tosha Ulmer, NP appears in the CMS NPPES registry as a Nurse Practitioner provider holding NP credentials at 3180 49TH ST S, Fargo, ND, 58104, with a listed phone of (701) 412-2400. NPI 1205857547 was issued on 07/22/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Ulmer 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 23 prescription claims written by this provider, covering 12 Medicare beneficiaries and totaling roughly $1K 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 83/100 for the 2023 performance year (Quality 87.1, Cost 57.1), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

3180 49TH ST S
Fargo, ND 58104

Provider Details

NPI 1205857547
Specialty Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 07/22/2006

CMS Quality Score (MIPS)

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

82.9973
Final Score
Avg: 83.1
87.0681
Quality
57.0897
Cost
99
Promoting Interoperability

Reporting: Group practice

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 Tosha Ulmer, NP. Source: openpaymentsdata.cms.gov.

Total received

$54

Largest payer

Galderma Laboratories, L.P.

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.

23
Total Claims
$1K
Total Drug Cost
12
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
48
Total Day Supply
1,320
Brand Drug Cost
$0
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
63.5 years
Avg HCC Risk Score
0.68

Nurse Practitioner Overview

How Tosha Ulmer, NP fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

Tosha Ulmer, NP's 23 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in North Dakota

Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as Ulmer.

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the North Dakota medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Tosha Ulmer, NP's specialty?
Tosha Ulmer, NP specializes in Nurse Practitioner and practices in Fargo, North Dakota. Credentials: NP.
How much does Tosha Ulmer, NP prescribe under Medicare Part D?
In 2023, Tosha Ulmer, NP wrote 23 Medicare Part D claims totaling $1K in drug costs for 12 beneficiaries.
What is Tosha Ulmer, NP's Medicare quality score?
Tosha Ulmer, NP has a CMS MIPS Final Score of 83/100 (Quality: 87.1, Cost: 57.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Tosha Ulmer, NP located?
Tosha Ulmer, NP is located at 3180 49TH ST S, Fargo, ND, 58104. Phone: (701) 412-2400.
What is Tosha Ulmer, NP's NPI number?
Tosha Ulmer, NP's National Provider Identifier (NPI) is 1205857547, issued on 07/22/2006.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
Does Tosha Ulmer, NP accept Medicare?
Tosha Ulmer, NP appears in CMS Medicare data with 23 Part D claims and 12 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Tosha Ulmer, NP's credentials?
Tosha Ulmer, NP's NPI is 1205857547 with credentials NP. 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

Compiled from official public sources by the PlainDoctor editorial team.