2026 NPPES data Acute Care Nurse Practitioner NPI 1316544067 APRN, CNP
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VALERIE FUSSELL, APRN, CNP

Acute Care Nurse Practitioner in CHICAGO, Illinois. 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
170
Medicare Part D claims · 79 beneficiaries · Acute Care Nurse Practitioner avg: 576
MIPS score
94.1036/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

VALERIE FUSSELL, APRN, CNP reported a CMS MIPS final score of 94.1036/100 — above the 83.1 national average — and filed 170 Medicare Part D claims in 2023.

94.1036/100
MIPS score · +11 vs avg
170
Part D claims, 2023

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.

VALERIE FUSSELL, APRN, CNP's MIPS score vs every scored U.S. clinician

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

94 Top 25% higher than 75% 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 VALERIE FUSSELL, APRN, CNP?

High performer (top quartile)

NPI registry status

Active

Issued 10/06/2020

NPI 1316544067

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,583 US NPIs in this specialty

Medicare Part D claims

170 70% vs specialty avg

2023 prescription claims

Specialty avg: 576

MIPS final score

94.1036/100 11.003600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Acute Care Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Acute Care Nurse Practitioner share within Illinois

1. Acute Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Acute Care Nurse Practitioner share within Illinois

Medicare quality performance — MIPS

VALERIE FUSSELL, APRN, CNP's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
94.1036/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Acute Care Nurse Practitioner) — 94.1036/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Acute Care Nurse Practitioner) — 94.1036/100 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).

VALERIE FUSSELL, APRN, CNP appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider holding APRN, CNP credentials at 259 E ERIE ST STE 1950, CHICAGO, IL, 60611, with a listed phone of (312) 695-8143. NPI 1316544067 was issued on 10/06/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FUSSELL 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 170 prescription claims written by this provider, covering 79 Medicare beneficiaries and totaling roughly $14K in drug spend, with an opioid prescribing rate of 17.6%. 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 94.1036/100 for the 2023 performance year (Quality 82.5938), compared with the national average of 83.1.

Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,583 enrolled providers across 53 states and an average of 576 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

259 E ERIE ST STE 1950
CHICAGO, IL 60611

Provider Details

NPI 1316544067
Specialty Acute Care Nurse Practitioner
Credentials APRN, CNP
Gender Female
NPI Issued 10/06/2020

CMS Quality Score (MIPS)

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

94.1036
Final Score
Avg: 83.1
82.5938
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where VALERIE FUSSELL, APRN, CNP 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.

NORTHWESTERN MEDICAL FACULTY FOUNDATION
CHICAGO, IL

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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to VALERIE FUSSELL, APRN, CNP. To verify VALERIE FUSSELL, APRN, CNP's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois 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.

170
Total Claims
$14K
Total Drug Cost
79
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
225
Total Day Supply
4,430
Generic Drug Cost
$3K
Opioid Claims
30 (17.6% rate)
Antibiotic Claims
11

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.72
Gender Split
41% female / 59% male

Top Prescribed Drugs (Medicare Part D)

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

What VALERIE FUSSELL, APRN, CNP 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
21
Levetiracetam
19
Dexamethasone
15

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

Acute Care Nurse Practitioner Overview

How VALERIE FUSSELL, APRN, CNP fits within the Acute Care Nurse Practitioner landscape nationally.

24,583
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider

VALERIE FUSSELL, APRN, CNP's 170 claims are below the specialty average of 576.

Nearby Acute Care Nurse Practitioner Providers in Illinois

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

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

Frequently Asked Questions

What is VALERIE FUSSELL, APRN, CNP's specialty?
VALERIE FUSSELL, APRN, CNP specializes in Acute Care Nurse Practitioner and practices in CHICAGO, Illinois. Credentials: APRN, CNP.
How much does VALERIE FUSSELL, APRN, CNP prescribe under Medicare Part D?
In 2023, VALERIE FUSSELL, APRN, CNP wrote 170 Medicare Part D claims totaling $14K in drug costs for 79 beneficiaries.
What is VALERIE FUSSELL, APRN, CNP's Medicare quality score?
VALERIE FUSSELL, APRN, CNP has a CMS MIPS Final Score of 94.1036/100 (Quality: 82.5938). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VALERIE FUSSELL, APRN, CNP located?
VALERIE FUSSELL, APRN, CNP is located at 259 E ERIE ST STE 1950, CHICAGO, IL, 60611. Phone: (312) 695-8143.
What is VALERIE FUSSELL, APRN, CNP's NPI number?
VALERIE FUSSELL, APRN, CNP's National Provider Identifier (NPI) is 1316544067, issued on 10/06/2020.
Does VALERIE FUSSELL, APRN, CNP prescribe opioids?
Yes, VALERIE FUSSELL, APRN, CNP had 30 opioid claims in 2023 with an opioid prescribing rate of 17.6%.
How many Acute Care Nurse Practitioner providers are there in the US?
There are 24,583 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
What drugs does VALERIE FUSSELL, APRN, CNP prescribe most often?
Based on 2023 Medicare Part D data, VALERIE FUSSELL, APRN, CNP's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Levetiracetam, Dexamethasone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VALERIE FUSSELL, APRN, CNP accept Medicare?
VALERIE FUSSELL, APRN, CNP appears in CMS Medicare data with 170 Part D claims and 79 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VALERIE FUSSELL, APRN, CNP's credentials?
VALERIE FUSSELL, APRN, CNP's NPI is 1316544067 with credentials APRN, CNP. 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