2026 NPPES data Nurse Practitioner NPI 1629473343 FNP
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VISHAUN LAWRENCE, FNP

Nurse Practitioner in FORT MADISON, Iowa. 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
226
Medicare Part D claims · 86 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
64.0716/100
▼ 19 pts below national avg 83.1 · [object Object]

What the federal data shows

VISHAUN LAWRENCE, FNP reported a CMS MIPS final score of 64.0716/100 — below the 83.1 national average — and filed 226 Medicare Part D claims in 2023.

64.0716/100
MIPS score · -19 vs avg
226
Part D claims, 2023
92%
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.

VISHAUN LAWRENCE, FNP's MIPS score vs every scored U.S. clinician

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

64 6th percentile higher than 6% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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

What does the federal data show about VISHAUN LAWRENCE, FNP?

Below national average

NPI registry status

Active

Issued 10/23/2014

NPI 1629473343

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

226 79% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

64.0716/100 19.02839999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Iowa

How Nurse Practitioner compares to other specialties among Iowa providers

Iowa providers

Nurse Practitioner share within Iowa

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

Medicare quality performance — MIPS

VISHAUN LAWRENCE, FNP's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
64.0716/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 64.0716/100 vs national avg 83.1

0%100%National avg83%64.1%
MIPS final score (Nurse Practitioner) — 64.0716/100 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).

VISHAUN LAWRENCE, FNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding FNP credentials at 5445 AVENUE O, FORT MADISON, IA, 52627, with a listed phone of (319) 372-6530. NPI 1629473343 was issued on 10/23/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LAWRENCE 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 226 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $9K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 5.3%. 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 64.0716/100 for the 2023 performance year (Quality 76.4363, Cost 22.9692), 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

5445 AVENUE O
FORT MADISON, IA 52627

Provider Details

NPI 1629473343
Specialty Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 10/23/2014

CMS Quality Score (MIPS)

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

64.0716
Final Score
Avg: 83.1
76.4363
Quality
22.9692
Cost
77
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where VISHAUN LAWRENCE, FNP 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.

JEFFERSON COUNTY HOSPITAL
FAIRFIELD, IA

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

Brand vs generic prescribing mix · Generic-heavy

VISHAUN LAWRENCE, FNP — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 226 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.

226
Total Claims
$9K
Total Drug Cost
86
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
239
Total Day Supply
3,886
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$6K
Generic Drug Cost
$3K
Opioid Claims
12 (5.3% rate)
Antibiotic Claims
61

Patient Demographics

Average Patient Age
77.1 years
Avg HCC Risk Score
1.85
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cefdinir
22
Furosemide
12

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

Nurse Practitioner Overview

How VISHAUN LAWRENCE, FNP 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

VISHAUN LAWRENCE, FNP's 226 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Iowa

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

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

Frequently Asked Questions

What is VISHAUN LAWRENCE, FNP's specialty?
VISHAUN LAWRENCE, FNP specializes in Nurse Practitioner and practices in FORT MADISON, Iowa. Credentials: FNP.
How much does VISHAUN LAWRENCE, FNP prescribe under Medicare Part D?
In 2023, VISHAUN LAWRENCE, FNP wrote 226 Medicare Part D claims totaling $9K in drug costs for 86 beneficiaries.
What is VISHAUN LAWRENCE, FNP's Medicare quality score?
VISHAUN LAWRENCE, FNP has a CMS MIPS Final Score of 64.0716/100 (Quality: 76.4363, Cost: 22.9692). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VISHAUN LAWRENCE, FNP located?
VISHAUN LAWRENCE, FNP is located at 5445 AVENUE O, FORT MADISON, IA, 52627. Phone: (319) 372-6530.
What is VISHAUN LAWRENCE, FNP's NPI number?
VISHAUN LAWRENCE, FNP's National Provider Identifier (NPI) is 1629473343, issued on 10/23/2014.
Does VISHAUN LAWRENCE, FNP prescribe more brand-name or generic drugs?
VISHAUN LAWRENCE, FNP's prescribing is 8% brand-name and 92% generic drugs by claim count, with $6K in brand drug costs.
Does VISHAUN LAWRENCE, FNP prescribe opioids?
Yes, VISHAUN LAWRENCE, FNP had 12 opioid claims in 2023 with an opioid prescribing rate of 5.3%.
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.
What drugs does VISHAUN LAWRENCE, FNP prescribe most often?
Based on 2023 Medicare Part D data, VISHAUN LAWRENCE, FNP's most frequently prescribed drugs include Cefdinir, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VISHAUN LAWRENCE, FNP accept Medicare?
VISHAUN LAWRENCE, FNP appears in CMS Medicare data with 226 Part D claims and 86 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VISHAUN LAWRENCE, FNP's credentials?
VISHAUN LAWRENCE, FNP's NPI is 1629473343 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