2026 NPPES data Family Nurse Practitioner NPI 1265859433 FNP
Verify on CMS →

Trina Ryan, FNP

Family Nurse Practitioner in Milan, Tennessee. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 209,817 in Family 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
2K
Medicare Part D claims · 227 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.7/100
▲ 10 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Trina Ryan, FNP reported a CMS MIPS final score of 92.7/100 — above the 83.1 national average — and filed 1,746 Medicare Part D claims in 2023.

92.7/100
MIPS score · +10 vs avg
2K
Part D claims, 2023
84%
generic prescribing

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.

Trina Ryan, FNP's MIPS score vs every scored U.S. clinician

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

93 Top 32% higher than 68% 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

Where Trina Ryan, FNP sits

This provider among family nurse practitioner peers

Across the 27,154 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Trina Ryan, FNP writes more Part D claims than 78% of them and scores higher on MIPS quality than 70% — placing this provider in the high-volume, high-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 quality0255075100022.344.666.989.3Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 42Trina Ryan, FNP — Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 70
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Trina Ryan, FNP?

High performer (top quartile)

NPI registry status

Active

Issued 03/25/2014

NPI 1265859433

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

1,746 43% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

92.7/100 9.6 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Family Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Largest specialties in Tennessee (% of in-state providers)

Family Nurse Practitioner — 6.4%Family Nurse Practitioner6.4%Pharmacist — 5.9%Pharmacist5.9%Student in an Organized Health Care Education/Training Program — 4.6%Student in an Organized Health Care Education/Training Program4.6%Physical Therapist — 4.2%Physical Therapist4.2%Behavior Technician — 4.2%Behavior Technician4.2%Registered Nurse — 3.9%Registered Nurse3.9%
Largest specialties in Tennessee (% of in-state providers)

Medicare quality performance — MIPS

Trina Ryan, FNP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
92.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 92.7/100 vs national avg 83.1

0%100%National avg83%92.7%
MIPS final score (Family Nurse Practitioner) — 92.7/100 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).

Trina Ryan, FNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP credentials at 4039 HIGHLAND ST, Milan, TN, 38358, with a listed phone of (731) 422-0213. NPI 1265859433 was issued on 03/25/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Ryan 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 1,746 prescription claims written by this provider, covering 227 Medicare beneficiaries and totaling roughly $226K in drug spend, split 16% brand-name and 84% generic by claim count, 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 92.7/100 for the 2023 performance year (Quality 85.4), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

4039 HIGHLAND ST
Milan, TN 38358

Provider Details

NPI 1265859433
Specialty Family Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 03/25/2014

CMS Quality Score (MIPS)

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

92.6985
Final Score
Avg: 83.1
85.397
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Typical

Trina Ryan, FNP — brand share 16.0%
Family Nurse Practitioner average

16% brand-name claims vs 84% generic, on 1,746 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.

1,746
Total Claims
$226K
Total Drug Cost
227
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,944
Total Day Supply
81,435
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$199K
Generic Drug Cost
$26K
Opioid Claims
27 (1.5% rate)
Antibiotic Claims
108

Patient Demographics

Average Patient Age
67.7 years
Avg HCC Risk Score
1.41
Gender Split
69% female / 31% male
Age Distribution
<65: 70, 65-74: 100, 75-84: 42, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

What Trina Ryan, FNP 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
Gabapentin
68
Alprazolam
54
Atorvastatin Calcium
54
Pantoprazole Sodium
46
Levothyroxine Sodium
43
Butalbital-Acetaminophen-Caffe
Butalb/Acetaminophen/Caffeine
39
Ozempic
Semaglutide
39
Omeprazole
37
Lisinopril
36
Duloxetine Hcl
35

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

Family Nurse Practitioner Overview

How Trina Ryan, FNP fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Trina Ryan, FNP's 1,746 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Tennessee

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

Compare Family 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 Tennessee medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family 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 Trina Ryan, FNP's specialty?
Trina Ryan, FNP specializes in Family Nurse Practitioner and practices in Milan, Tennessee. Credentials: FNP.
How much does Trina Ryan, FNP prescribe under Medicare Part D?
In 2023, Trina Ryan, FNP wrote 1,746 Medicare Part D claims totaling $226K in drug costs for 227 beneficiaries.
What is Trina Ryan, FNP's Medicare quality score?
Trina Ryan, FNP has a CMS MIPS Final Score of 92.7/100 (Quality: 85.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Trina Ryan, FNP located?
Trina Ryan, FNP is located at 4039 HIGHLAND ST, Milan, TN, 38358. Phone: (731) 422-0213.
What is Trina Ryan, FNP's NPI number?
Trina Ryan, FNP's National Provider Identifier (NPI) is 1265859433, issued on 03/25/2014.
Does Trina Ryan, FNP prescribe more brand-name or generic drugs?
Trina Ryan, FNP's prescribing is 16% brand-name and 84% generic drugs by claim count, with $199K in brand drug costs.
Does Trina Ryan, FNP prescribe opioids?
Yes, Trina Ryan, FNP had 27 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Trina Ryan, FNP prescribe most often?
Based on 2023 Medicare Part D data, Trina Ryan, FNP's most frequently prescribed drugs include Gabapentin, Alprazolam, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Trina Ryan, FNP accept Medicare?
Trina Ryan, FNP appears in CMS Medicare data with 1,746 Part D claims and 227 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Trina Ryan, FNP's credentials?
Trina Ryan, FNP's NPI is 1265859433 with credentials FNP. 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.