2026 NPPES data Adult Health Nurse Practitioner NPI 1932631975 NURSE PRACTITIONER
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Toya Clemons, NURSE PRACTITIONER

Adult Health Nurse Practitioner in Southfield, Michigan.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,492 in Adult Health 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.
MIPS score
39.7/100
▼ 43 pts below national avg 83.1 · Below average
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Toya Clemons, NURSE PRACTITIONER reported a CMS MIPS final score of 39.7/100 - below the 83.1 national average.

39.7/100
MIPS score · -43 vs avg

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.

Toya Clemons, NURSE PRACTITIONER's MIPS score vs every scored U.S. clinician

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

40 4th percentile higher than 4% 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%). This entry sits in this band. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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 Toya Clemons, NURSE PRACTITIONER?

Below national average

NPI registry status

Active

Issued 03/29/2017

NPI 1932631975

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

MIPS final score

39.7/100 43.4 pts vs avg

Below average band

vs 83.1 national avg

Specialty distribution in Michigan

How Adult Health Nurse Practitioner compares to other specialties among Michigan providers

Michigan providers
Behavior Technician - 21.4%Behavior Technician21.4%Clinical Social Worker - 5.8%Clinical Social Worker5.8%Student in an Organized Health Care Education/Training Program - 3.6%Student in an Organized Health Care Education/Training Program3.6%Physical Therapist - 3.4%Physical Therapist3.4%Social Worker - 3.4%Social Worker3.4%Pharmacist - 3%Pharmacist3%Adult Health Nurse Practitioner - 0.3%Adult Health Nurse Practitioner0.3%
Largest specialties in Michigan (% of in-state providers)

Medicare quality performance, MIPS

Toya Clemons, NURSE PRACTITIONER's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

Below national average
MIPS Final Score
39.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) - 39.7/100 vs national avg 83.1

0%100%National avg83%39.7%
MIPS final score (Adult Health Nurse Practitioner) - 39.7/100 vs national avg 83.1
How MIPS and board certification work

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).

Toya Clemons, NURSE PRACTITIONER appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding NURSE PRACTITIONER credentials at 20905 GREENFIELD RD STE 200, Southfield, MI, 48075, with a listed phone of (248) 809-3119. NPI 1932631975 was issued on 03/29/2017.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal, many Adult Health Nurse Practitioner providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 39.7/100 for the 2023 performance year (Quality 0, Cost 69.2), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

20905 GREENFIELD RD STE 200
Southfield, MI 48075

Provider Details

NPI 1932631975
Specialty Adult Health Nurse Practitioner
Credentials NURSE PRACTITIONER
Gender Female
NPI Issued 03/29/2017

CMS Quality Score (MIPS)

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

39.6582
Final Score
Avg: 83.1
0
Quality
69.2444
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Toya Clemons, NURSE PRACTITIONER 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.

Sjmh Medical Practice-Smhc
Pontiac, MI

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

License & disciplinary context - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Toya Clemons, NURSE PRACTITIONER. To verify Toya Clemons, NURSE PRACTITIONER's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Adult Health Nurse Practitioner Overview

How Toya Clemons, NURSE PRACTITIONER fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

Nearby Adult Health Nurse Practitioner Providers in Michigan

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

Compare Adult Health 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 Michigan medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Adult Health 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 Toya Clemons, NURSE PRACTITIONER's specialty?
Toya Clemons, NURSE PRACTITIONER specializes in Adult Health Nurse Practitioner and practices in Southfield, Michigan. Credentials: NURSE PRACTITIONER.
What is Toya Clemons, NURSE PRACTITIONER's Medicare quality score?
Toya Clemons, NURSE PRACTITIONER has a CMS MIPS Final Score of 39.7/100 (Quality: 0, Cost: 69.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Toya Clemons, NURSE PRACTITIONER located?
Toya Clemons, NURSE PRACTITIONER is located at 20905 GREENFIELD RD STE 200, Southfield, MI, 48075. Phone: (248) 809-3119.
What is Toya Clemons, NURSE PRACTITIONER's NPI number?
Toya Clemons, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1932631975, issued on 03/29/2017.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
Does Toya Clemons, NURSE PRACTITIONER accept Medicare?
Toya Clemons, NURSE PRACTITIONER appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Toya Clemons, NURSE PRACTITIONER's credentials?
Toya Clemons, NURSE PRACTITIONER's NPI is 1932631975 with credentials NURSE PRACTITIONER. 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

View source datasets and methodology notes
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.
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.