2026 NPPES data Family Nurse Practitioner NPI 1982843231 FNP, APN
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APRIL DOWNING, FNP, APN

Family Nurse Practitioner in JACKSON, Tennessee. 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
5K
Medicare Part D claims · 172 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
78.0756/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$1.1K
25 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

APRIL DOWNING, FNP, APN reported a CMS MIPS final score of 78.0756/100 — below the 83.1 national average — and filed 4,853 Medicare Part D claims in 2023.

78.0756/100
MIPS score · -5 vs avg
5K
Part D claims, 2023
$1.1K
industry payments (Sunshine Act)

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.

APRIL DOWNING, FNP, APN's MIPS score vs every scored U.S. clinician

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

78 27th percentile higher than 27% 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%). This entry sits in this band. 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 APRIL DOWNING, FNP, APN?

Below national average

NPI registry status

Active

Issued 02/10/2009

NPI 1982843231

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

4,853 297% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

78.0756/100 5.0244% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Tennessee

How Family Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Family Nurse Practitioner share within Tennessee

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

Medicare quality performance — MIPS

APRIL DOWNING, FNP, APN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
78.0756/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 78.0756/100 vs national avg 83.1

0%100%National avg83%78.1%
MIPS final score (Family Nurse Practitioner) — 78.0756/100 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).

APRIL DOWNING, FNP, APN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP, APN credentials at 8 STONEBRIDGE BLVD STE M, JACKSON, TN, 38305, with a listed phone of (731) 736-4300. NPI 1982843231 was issued on 02/10/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOWNING 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 4,853 prescription claims written by this provider, covering 172 Medicare beneficiaries and totaling roughly $1.3 million in drug spend. 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 78.0756/100 for the 2023 performance year (Quality 62.4419), 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

8 STONEBRIDGE BLVD STE M
JACKSON, TN 38305

Provider Details

NPI 1982843231
Specialty Family Nurse Practitioner
Credentials FNP, APN
Gender Female
NPI Issued 02/10/2009

CMS Quality Score (MIPS)

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

78.0756
Final Score
Avg: 83.1
62.4419
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where APRIL DOWNING, FNP, APN 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.

ULTRA HEALTH LLC
BELLS, TN

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for APRIL DOWNING, FNP, APN. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Teva Pharmaceuticals USA, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

4,853
Total Claims
$1.3M
Total Drug Cost
172
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,867
Total Day Supply
60,931
Generic Drug Cost
$47K

Patient Demographics

Average Patient Age
78.4 years
Avg HCC Risk Score
2.24
Gender Split
60% female / 40% male
Age Distribution
<65: 18, 65-74: 43, 75-84: 56, 85+: 55

Top Prescribed Drugs (Medicare Part D)

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

What APRIL DOWNING, FNP, APN 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
Buspirone Hcl
509
Divalproex Sodium
222
Atorvastatin Calcium
217
Trazodone Hcl
209
Memantine Hcl
197
Escitalopram Oxalate
196
Lorazepam
191
Amlodipine Besylate
164
Lisinopril
164
Risperidone
148

* 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 APRIL DOWNING, FNP, APN 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

APRIL DOWNING, FNP, APN's 4,853 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 DOWNING.

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

Frequently Asked Questions

What is APRIL DOWNING, FNP, APN's specialty?
APRIL DOWNING, FNP, APN specializes in Family Nurse Practitioner and practices in JACKSON, Tennessee. Credentials: FNP, APN.
How much does APRIL DOWNING, FNP, APN prescribe under Medicare Part D?
In 2023, APRIL DOWNING, FNP, APN wrote 4,853 Medicare Part D claims totaling $1.3M in drug costs for 172 beneficiaries.
What is APRIL DOWNING, FNP, APN's Medicare quality score?
APRIL DOWNING, FNP, APN has a CMS MIPS Final Score of 78.0756/100 (Quality: 62.4419). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is APRIL DOWNING, FNP, APN located?
APRIL DOWNING, FNP, APN is located at 8 STONEBRIDGE BLVD STE M, JACKSON, TN, 38305. Phone: (731) 736-4300.
What is APRIL DOWNING, FNP, APN's NPI number?
APRIL DOWNING, FNP, APN's National Provider Identifier (NPI) is 1982843231, issued on 02/10/2009.
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 APRIL DOWNING, FNP, APN prescribe most often?
Based on 2023 Medicare Part D data, APRIL DOWNING, FNP, APN's most frequently prescribed drugs include Buspirone Hcl, Divalproex Sodium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does APRIL DOWNING, FNP, APN accept Medicare?
APRIL DOWNING, FNP, APN appears in CMS Medicare data with 4,853 Part D claims and 172 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify APRIL DOWNING, FNP, APN's credentials?
APRIL DOWNING, FNP, APN's NPI is 1982843231 with credentials FNP, APN. 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