2026 NPPES data Gerontology Nurse Practitioner NPI 1881336535 AGPNP-BC
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WENDY MIANO, AGPNP-BC

Gerontology Nurse Practitioner in CLEVELAND, Ohio. 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
228
Medicare Part D claims · 70 beneficiaries · Gerontology Nurse Practitioner avg: 1K
MIPS score
90.4519/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

WENDY MIANO, AGPNP-BC reported a CMS MIPS final score of 90.4519/100 — above the 83.1 national average — and filed 228 Medicare Part D claims in 2023.

90.4519/100
MIPS score · +7 vs avg
228
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.

WENDY MIANO, AGPNP-BC's MIPS score vs every scored U.S. clinician

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

90 Top 40% higher than 60% 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 WENDY MIANO, AGPNP-BC?

High performer (top quartile)

NPI registry status

Active

Issued 04/12/2022

NPI 1881336535

Primary specialty

Gerontology Nurse Practitioner

Mid-sized

9,625 US NPIs in this specialty

Medicare Part D claims

228 82% vs specialty avg

2023 prescription claims

Specialty avg: 1,283

MIPS final score

90.4519/100 7.3519000000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Gerontology Nurse Practitioner compares to other specialties among Ohio providers

Ohio providers

Gerontology Nurse Practitioner share within Ohio

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

Medicare quality performance — MIPS

WENDY MIANO, AGPNP-BC's 2023 MIPS final score plotted against the Gerontology Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
90.4519/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gerontology Nurse Practitioner) — 90.4519/100 vs national avg 83.1

0%100%National avg83%90.5%
MIPS final score (Gerontology Nurse Practitioner) — 90.4519/100 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).

WENDY MIANO, AGPNP-BC appears in the CMS NPPES registry as a Gerontology Nurse Practitioner provider holding AGPNP-BC credentials at HOSPICE OF THE WESTERN RESERVE WRN PROGRAM, CLEVELAND, OH, 44110, with a listed phone of (216) 486-6512. NPI 1881336535 was issued on 04/12/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MIANO 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 228 prescription claims written by this provider, covering 70 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 18.4%. 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 90.4519/100 for the 2023 performance year (Quality 88.3333, Cost 62.433), compared with the national average of 83.1.

Gerontology Nurse Practitioner is a mid-sized specialty nationwide, with 9,625 enrolled providers across 54 states and an average of 1,283 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

HOSPICE OF THE WESTERN RESERVE WRN PROGRAM
CLEVELAND, OH 44110

Provider Details

NPI 1881336535
Specialty Gerontology Nurse Practitioner
Credentials AGPNP-BC
Gender Female
NPI Issued 04/12/2022

CMS Quality Score (MIPS)

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

90.4519
Final Score
Avg: 83.1
88.3333
Quality
62.433
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where WENDY MIANO, AGPNP-BC 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.

LAKE HOSPITAL SYSTEM, INC.
MENTOR, OH

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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to WENDY MIANO, AGPNP-BC. To verify WENDY MIANO, AGPNP-BC's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio 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.

228
Total Claims
$5K
Total Drug Cost
70
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
251
Total Day Supply
5,936
Generic Drug Cost
$4K
Opioid Claims
42 (18.4% rate)
Antibiotic Claims
24

Patient Demographics

Average Patient Age
79.7 years
Avg HCC Risk Score
3.48
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
Tramadol Hcl
29
Nystatin
16

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

Gerontology Nurse Practitioner Overview

How WENDY MIANO, AGPNP-BC fits within the Gerontology Nurse Practitioner landscape nationally.

9,625
Gerontology Nurse Practitioner Providers in US
54
States with Gerontology Nurse Practitioner
1,283
Avg Claims per Provider

WENDY MIANO, AGPNP-BC's 228 claims are below the specialty average of 1,283.

Nearby Gerontology Nurse Practitioner Providers in Ohio

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

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

Frequently Asked Questions

What is WENDY MIANO, AGPNP-BC's specialty?
WENDY MIANO, AGPNP-BC specializes in Gerontology Nurse Practitioner and practices in CLEVELAND, Ohio. Credentials: AGPNP-BC.
How much does WENDY MIANO, AGPNP-BC prescribe under Medicare Part D?
In 2023, WENDY MIANO, AGPNP-BC wrote 228 Medicare Part D claims totaling $5K in drug costs for 70 beneficiaries.
What is WENDY MIANO, AGPNP-BC's Medicare quality score?
WENDY MIANO, AGPNP-BC has a CMS MIPS Final Score of 90.4519/100 (Quality: 88.3333, Cost: 62.433). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WENDY MIANO, AGPNP-BC located?
WENDY MIANO, AGPNP-BC is located at HOSPICE OF THE WESTERN RESERVE WRN PROGRAM, CLEVELAND, OH, 44110. Phone: (216) 486-6512.
What is WENDY MIANO, AGPNP-BC's NPI number?
WENDY MIANO, AGPNP-BC's National Provider Identifier (NPI) is 1881336535, issued on 04/12/2022.
Does WENDY MIANO, AGPNP-BC prescribe opioids?
Yes, WENDY MIANO, AGPNP-BC had 42 opioid claims in 2023 with an opioid prescribing rate of 18.4%.
How many Gerontology Nurse Practitioner providers are there in the US?
There are 9,625 Gerontology Nurse Practitioner providers across 54 states in the US. The average Gerontology Nurse Practitioner provider writes 1,283 Medicare Part D claims per year.
What drugs does WENDY MIANO, AGPNP-BC prescribe most often?
Based on 2023 Medicare Part D data, WENDY MIANO, AGPNP-BC's most frequently prescribed drugs include Tramadol Hcl, Nystatin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WENDY MIANO, AGPNP-BC accept Medicare?
WENDY MIANO, AGPNP-BC appears in CMS Medicare data with 228 Part D claims and 70 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WENDY MIANO, AGPNP-BC's credentials?
WENDY MIANO, AGPNP-BC's NPI is 1881336535 with credentials AGPNP-BC. 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