2026 NPPES data Family Nurse Practitioner NPI 1518330018
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Ashley Shell

Family Nurse Practitioner in Lubbock, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
748
Medicare Part D claims · 230 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
59.6/100
▼ 24 pts below national avg 83.5 · Mid-tier
Industry payments
$2.6K
54 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Ashley Shell reported a CMS MIPS final score of 59.6/100 - below the 83.5 national average - and filed 748 Medicare Part D claims in 2023.

59.6/100
MIPS score · -24 vs avg
748
Part D claims, 2023
$2.6K
industry payments (Sunshine Act)
≥6th
pct among measured MIPS (lower-bound band)

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.

CMS NPPES provider registry desk

NPI 1518330018 · Family Nurse Practitioner

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-LOW · RX-LIGHT · BOOK-MID · PHOTO-FINISH

  • NPI-10 1518330018
  • ENUM-MID 2015
  • TAX-MEGA 211K Family Nurse
  • MIPS-LOW 59.6/100
  • RX-LIGHT 748
  • BOOK-MID 18,789 in Texas
  • PHOTO-FINISH Christine Crooms · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Ashley Shell's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

60 ≥ 6th percentile 6% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). This entry sits in this band. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Ashley Shell sits

This provider among family nurse practitioner peers

Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Ashley Shell writes more Part D claims than 63% of them and scores higher on MIPS quality than 4% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Ashley Shell, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 4
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Ashley Shell. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Ashley Shell?

Below national average

NPI registry status

Active

Issued 11/05/2015

NPI 1518330018

Primary specialty

Family Nurse Practitioner

High-volume

210,832 US NPIs in this specialty

Medicare Part D claims

748 39% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

59.6/100 23.9 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Texas

How Family Nurse Practitioner compares to other specialties among Texas providers

Texas providers
Behavior Technician5.6%Student in an Organized Heal…5.1%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.4%Speech-Language Pathologist3.9%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Ashley Shell's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
59.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%59.6%
MIPS final score (Family Nurse Practitioner) - 59.6/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

3419 22ND ST
Lubbock, TX 79410

Provider Details

NPI 1518330018
Specialty Family Nurse Practitioner
Gender Female
NPI Issued 11/05/2015

CMS Quality Score (MIPS)

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

59.559
Final Score
Measured-score avg: 83.5
59.124
Quality
19.406
Cost
84
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Ashley Shell 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.

Neurosurgical Associates , LLP
Lubbock, TX
Texas Tech University Health Sciences Center Lubbock
Lubbock, TX

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 Ashley Shell. Source: openpaymentsdata.cms.gov.

Total received

$2.6K

Largest payer

SI-BONE, 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.

License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Ashley Shell. To verify Ashley Shell's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas 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.

748
Total Claims
$17K
Total Drug Cost
230
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
849
Total Day Supply
24,310
Generic Drug Cost
$13K
Opioid Claims
222 (29.7% rate)

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
1.30
Gender Split
70% female / 30% male
Age Distribution
<65: 48, 65-74: 116, 75-84: 54, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What Ashley Shell 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
Gabapentin
177
Tizanidine Hcl
119
Tramadol Hcl
119
Acetaminophen-Codeine
Acetaminophen With Codeine
83
Pregabalin
47
Methocarbamol
41
Cyclobenzaprine Hcl
23
Meloxicam
18
Tramadol Hcl Er
Tramadol Hcl
18
Celecoxib
14

* 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 Ashley Shell fits within the Family Nurse Practitioner landscape nationally.

210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Ashley Shell's 748 claims are below the specialty average of 1,222.

Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Shell, both outside Texas so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (59.6 here).

Same NPPES enumeration year (2015)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Family Nurse Practitioner Providers in Texas

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

One of 18,789 Family Nurse Practitioner providers enrolled in Texas, 5 are shown here.

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

Frequently Asked Questions

What is Ashley Shell's specialty?
Ashley Shell specializes in Family Nurse Practitioner and practices in Lubbock, Texas.
How much does Ashley Shell prescribe under Medicare Part D?
In 2023, Ashley Shell wrote 748 Medicare Part D claims totaling $17K in drug costs for 230 beneficiaries.
What is Ashley Shell's Medicare quality score?
Ashley Shell has a CMS MIPS Final Score of 59.6/100 (Quality: 59.1, Cost: 19.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ashley Shell located?
Ashley Shell is located at 3419 22ND ST, Lubbock, TX, 79410. Phone: (806) 796-3000.
What is Ashley Shell's NPI number?
Ashley Shell's National Provider Identifier (NPI) is 1518330018, issued on 11/05/2015.
Does Ashley Shell prescribe opioids?
Yes, Ashley Shell had 222 opioid claims in 2023 with an opioid prescribing rate of 29.7%.
How many Family Nurse Practitioner providers are there in the US?
There are 210,832 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 Ashley Shell prescribe most often?
Based on 2023 Medicare Part D data, Ashley Shell's most frequently prescribed drugs include Gabapentin, Tizanidine Hcl, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ashley Shell accept Medicare?
Ashley Shell appears in CMS Medicare data with 748 Part D claims and 230 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ashley Shell's credentials?
Ashley Shell's NPI is 1518330018. 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

View source datasets and methodology notes
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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.