NPPES file of Aug 9, 2026

April R. Downing, FNP, APN

Family Nurse Practitioner · Bells, TN

April R. Downing, FNP, APN is a family nurse practitioner with a practice address in Bells, Tennessee, and NPI 1982843231, issued on Feb 10, 2009. Check the license (Tennessee 13937, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1982843231
Name
April R. Downing
Credential
FNP, APN
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License number
13937 TN
Self-reported in NPPES; status is on the state search
Practice location
4128 Old Jackson RD, Bells, TN 38006
Phone
(731) 393-3500
Enumerated
Feb 10, 2009
Record last updated
Mar 25, 2026
Fax
(844) 374-0233
Medicare enrollment
Enrolled (PECOS I20090601000564); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Verify April R. Downing in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
    Search for license 13937
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Tennessee license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

4.1 times the Medicare Part D claims of the average family nurse practitioner in 2024

5,312 Medicare Part D claims for 223 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D. 11 claims were for opioids.

  1. April Downing5,312
  2. Specialty average1,305

Most prescribed

  1. Buspirone Hcl619 claims
  2. Quetiapine Fumarate286 claims
  3. Trazodone Hcl225 claims
  4. Atorvastatin Calcium200 claims
  5. Sertraline Hcl190 claims
  6. Divalproex Sodium170 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 78.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score62.4
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,054.24

25 payments; by number, the most common kind was food and beverage; the largest payer was Teva Pharmaceuticals USA, Inc. The 99,489 providers of this specialty with any payment received $650.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. April Downing$1,054.24
  2. Specialty average$650.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Ultra Health LLCBells, TN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

April R. Downing among 9,060 family nurse practitioner records in Tennessee

April R. Downing, FNP, APN is one of 9,060 family nurse practitioner records with a practice address in Tennessee. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 17% of them.

  • NPI issued2009 · 17% of these records are older, 81% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 61% of these records are
  • Graduated2008 · median 2017 among the 5,523 with a school on file
  • Record last updated2026 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

4 family nurse practitioner records list a practice address in Bells

They are 4 of the 24 NPPES records with a practice address in Bells, and 9,060 family nurse practitioner records in Tennessee.

The 8 family nurse practitioner records with the nearest ZIP codes

  1. April Burleson, MSN, FNP-CBells, TN 380061730426867
  2. Chizoba Nnaji, DNP, FNP, B.C.Bells, TN 380061467636373
  3. Summer Rader, FNPBells, TN 380061720892243
  4. Allison Adams, FNP-CBolivar, TN 380081174912968
  5. Ashley Armstrong, FNP-CAtoka, TN 380041679284301
  6. Kelli Askam, FNP-BCAtoka, TN 380041902610199
  7. Maggie Billings, FNP, BCBolivar, TN 380081104192053
  8. Hiromi Burton, FNPAtoka, TN 380041821480294

Common questions

What is April R. Downing, FNP, APN's NPI number?

April R. Downing, FNP, APN's National Provider Identifier (NPI) is 1982843231, issued on Feb 10, 2009. An NPI identifies a provider in billing; it is not a license.

Where is April R. Downing, FNP, APN located?

The NPPES record lists a practice address at 4128 Old Jackson RD, Bells, TN, 38006. Phone: (731) 393-3500. Providers update this record themselves, so call before visiting.

How can I verify April R. Downing, FNP, APN's license?

NPPES lists Tennessee license number 13937, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.

How much does April R. Downing, FNP, APN prescribe under Medicare Part D?

In 2024, April R. Downing, FNP, APN had 5,312 Medicare Part D claims for 223 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.

What is April R. Downing, FNP, APN's MIPS final score?

The 2023 MIPS final score is 78.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.