2026 NPPES data Family Nurse Practitioner NPI 1003892951 RN,FNP,APN
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Carol Simmons, RN,FNP,APN

Family Nurse Practitioner in Memphis, Tennessee. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 209,817 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
809
Medicare Part D claims · 460 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
91%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.1/100
▼ 8 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Carol Simmons, RN,FNP,APN reported a CMS MIPS final score of 75.1/100 — below the 83.1 national average — and filed 809 Medicare Part D claims in 2023.

75.1/100
MIPS score · -8 vs avg
809
Part D claims, 2023
91%
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.

Carol Simmons, RN,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

75 15th percentile higher than 15% 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

Where Carol Simmons, RN,FNP,APN sits

This provider among family nurse practitioner peers

Across the 27,154 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Carol Simmons, RN,FNP,APN writes more Part D claims than 64% of them and scores higher on MIPS quality than 16% — placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 43Carol Simmons, RN,FNP,APN — Part D claim volume — percentile in specialty: 64 · MIPS quality — percentile: 16
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 Carol Simmons, RN,FNP,APN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Carol Simmons, RN,FNP,APN?

Below national average

NPI registry status

Active

Issued 12/21/2005

NPI 1003892951

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

809 34% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

75.1/100 8 pts vs avg

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

Largest specialties in Tennessee (% of in-state providers)

Family Nurse Practitioner — 6.4%Family Nurse Practitioner6.4%Pharmacist — 5.9%Pharmacist5.9%Student in an Organized Health Care Education/Training Program — 4.6%Student in an Organized Health Care Education/Training Program4.6%Physical Therapist — 4.2%Physical Therapist4.2%Behavior Technician — 4.2%Behavior Technician4.2%Registered Nurse — 3.9%Registered Nurse3.9%
Largest specialties in Tennessee (% of in-state providers)

Medicare quality performance — MIPS

Carol Simmons, RN,FNP,APN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
75.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 75.1/100 vs national avg 83.1

0%100%National avg83%75.1%
MIPS final score (Family Nurse Practitioner) — 75.1/100 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).

Carol Simmons, RN,FNP,APN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding RN,FNP,APN credentials at 9155 CRESTWYN HILLS DR, Memphis, TN, 38125, with a listed phone of (901) 261-4848. NPI 1003892951 was issued on 12/21/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Simmons 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 809 prescription claims written by this provider, covering 460 Medicare beneficiaries and totaling roughly $17K in drug spend, split 5% brand-name and 91% generic by claim count, with an opioid prescribing rate of 5.8%. 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 75.1/100 for the 2023 performance year (Quality 56.5, Cost 71.9), 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

9155 CRESTWYN HILLS DR
Memphis, TN 38125

Provider Details

NPI 1003892951
Specialty Family Nurse Practitioner
Credentials RN,FNP,APN
Gender Female
NPI Issued 12/21/2005

CMS Quality Score (MIPS)

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

75.0659
Final Score
Avg: 83.1
56.4669
Quality
71.8772
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Carol Simmons, RN,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.

Methodist Healthcare Community Care Associates
Cordova, 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).

Brand vs generic prescribing mix · Generic-heavy

Carol Simmons, RN,FNP,APN — brand share 5.0%
Family Nurse Practitioner average

5% brand-name claims vs 91% generic, on 809 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.

809
Total Claims
$17K
Total Drug Cost
460
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
890
Total Day Supply
10,083
Brand vs Generic
5% brand / 91% generic
Brand Drug Cost
$9K
Generic Drug Cost
$7K
Opioid Claims
47 (5.8% rate)
Antibiotic Claims
298

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.19
Gender Split
75% female / 25% male
Age Distribution
<65: 51, 65-74: 256, 75-84: 129, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

What Carol Simmons, RN,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
Methylprednisolone
146
Azithromycin
98
Doxycycline Hyclate
42
Cephalexin
39
Fluticasone Propionate
38
Ciprofloxacin Hcl
34
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
33
Prednisone
30
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
25
Amoxicillin
22

* 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 Carol Simmons, RN,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

Carol Simmons, RN,FNP,APN's 809 claims are below 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 Simmons.

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Tennessee medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Carol Simmons, RN,FNP,APN's specialty?
Carol Simmons, RN,FNP,APN specializes in Family Nurse Practitioner and practices in Memphis, Tennessee. Credentials: RN,FNP,APN.
How much does Carol Simmons, RN,FNP,APN prescribe under Medicare Part D?
In 2023, Carol Simmons, RN,FNP,APN wrote 809 Medicare Part D claims totaling $17K in drug costs for 460 beneficiaries.
What is Carol Simmons, RN,FNP,APN's Medicare quality score?
Carol Simmons, RN,FNP,APN has a CMS MIPS Final Score of 75.1/100 (Quality: 56.5, Cost: 71.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Carol Simmons, RN,FNP,APN located?
Carol Simmons, RN,FNP,APN is located at 9155 CRESTWYN HILLS DR, Memphis, TN, 38125. Phone: (901) 261-4848.
What is Carol Simmons, RN,FNP,APN's NPI number?
Carol Simmons, RN,FNP,APN's National Provider Identifier (NPI) is 1003892951, issued on 12/21/2005.
Does Carol Simmons, RN,FNP,APN prescribe more brand-name or generic drugs?
Carol Simmons, RN,FNP,APN's prescribing is 5% brand-name and 91% generic drugs by claim count, with $9K in brand drug costs.
Does Carol Simmons, RN,FNP,APN prescribe opioids?
Yes, Carol Simmons, RN,FNP,APN had 47 opioid claims in 2023 with an opioid prescribing rate of 5.8%.
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 Carol Simmons, RN,FNP,APN prescribe most often?
Based on 2023 Medicare Part D data, Carol Simmons, RN,FNP,APN's most frequently prescribed drugs include Methylprednisolone, Azithromycin, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carol Simmons, RN,FNP,APN accept Medicare?
Carol Simmons, RN,FNP,APN appears in CMS Medicare data with 809 Part D claims and 460 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carol Simmons, RN,FNP,APN's credentials?
Carol Simmons, RN,FNP,APN's NPI is 1003892951 with credentials RN,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

Compiled from official public sources by the PlainDoctor editorial team.