NPI registry status
Active
2026 NPPES data Women's Health Nurse Practitioner NPI 1760795637 NP
Verify on CMS → Carrie Semelsberger, NP
Women's Health Nurse Practitioner in East Setauket, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,754 in Women's Health 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
134
Medicare Part D claims · 55 beneficiaries · Women's Health Nurse Practitioner avg: 269
MIPS score
98.5/100
▲ 15 pts above national avg 83.5 · Exceptional
What the federal data shows
Carrie Semelsberger, NP reported a CMS MIPS final score of 98.5/100 - above the 83.5 national average - and filed 134 Medicare Part D claims in 2024.
- 98.5/100
- MIPS score · +15 vs avg
- 134
- Part D claims, 2024
- ≥89th
- 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.
Federal trust snapshot
What official records show about Carrie Semelsberger, NP
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1760795637), first enumerated 07/21/2010.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 134 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 98.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Carrie Semelsberger, NP's individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1760795637 · Women's Health Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1760795637
- ENUM-MID 2010
- TAX-MID 10K Women's Health
- MIPS-ELITE 98.5/100
- RX-LIGHT 134
- BOOK-LIGHT 647 in New York
- PHOTO-FINISH Lori Plummer · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Semelsberger · t…
Semelsberger · this provider
98.5 MIPS pts
- Kerry Standley ·…
Kerry Standley
98.5 MIPS pts
- Lori Plummer · n…
Lori Plummer
98.5 MIPS pts
- Jennifer Enrique…
Jennifer Enrique
98.7 MIPS pts
- Melissa Buddha ·…
Melissa Buddha
98.7 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Carrie Semelsberger, NP'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.
99 ≥ 89th percentile 89% of 454,083 measured providers are in lower value bands
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 Carrie Semelsberger, NP sits
This provider among women's health nurse practitioner peers
Across the 795 women's health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Carrie Semelsberger, NP writes more Part D claims than 59% of them and scores higher on MIPS quality than 93% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one women's health nurse practitioner peer from a representative sample of 60; the gold marker is Carrie Semelsberger, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Carrie Semelsberger, NP?
High performer (top quartile)Primary specialty
Women's Health Nurse Practitioner
Medicare Part D claims
134 50% vs specialty avg
MIPS final score
98.5/100 15 pts vs avg
Specialty distribution in New York
How Women's Health Nurse Practitioner compares to other specialties among New York providers
Medicare quality performance, MIPS
Carrie Semelsberger, NP's 2023 MIPS final score plotted against the Women's Health Nurse Practitioner national average
- MIPS Final Score
- 98.5/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1760795637 |
|---|---|
| Specialty | Women's Health Nurse Practitioner |
| Credentials | NP |
| Gender | Female |
| NPI Issued | 07/21/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
98.5241
Final Score
Measured-score avg: 83.5
82.8545
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Carrie Semelsberger, NP 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.
University Associates IN Obstetrics And Gynecology University Faculty
Stony Brook, NY
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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Carrie Semelsberger, NP. To verify Carrie Semelsberger, NP's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York 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 2024.
134
Total Claims
$13K
Total Drug Cost
55
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 238.6
- Total Day Supply
- 6,525
- Generic Drug Cost
- $8K
Patient Demographics
- Average Patient Age
- 62.2 years
- Avg HCC Risk Score
- 0.76
- Gender Split
- 100% female / 0% male
- Age Distribution
- <65: 18, 65-74: 25, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Carrie Semelsberger, NP prescribes most
Top Medicare Part D drugs by claim count, 2024
- Estradiol
Estradiol
29 claims
- Yuvafem
Yuvafem
13 claims
- Tri-Sprintec
Tri-Sprintec
12 claims
| Drug | Claims |
|---|---|
| Estradiol | 29 |
| Yuvafem Estradiol | 13 |
| Tri-Sprintec Norgestimate-Ethinyl Estradiol | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Women's Health Nurse Practitioner Overview
How Carrie Semelsberger, NP fits within the Women's Health Nurse Practitioner landscape nationally.
9,754
Women's Health Nurse Practitioner Providers in US
55
States with Women's Health Nurse Practitioner
269
Avg Claims per Provider
Carrie Semelsberger, NP's 134 claims are below the specialty average of 269.
Nationwide Women's Health Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Semelsberger, both outside New York so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (98.5 here).
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Women's Health Nurse Practitioner Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Semelsberger.
One of 647 Women's Health Nurse Practitioner providers enrolled in New York, 5 are shown here.
Tope Aade-Gbami
Brooklyn, NY
Sarah Adamic
NP
Bronx, NY
Evelyn Addo-Wallace
NP
New York, NY
Dorothy Adler
NP
Cortlandt Manor, NY
Robin Aftuck
CNM
Cuba, NY
Compare Women's Health Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Carrie Semelsberger, NP's specialty? ▼
Carrie Semelsberger, NP specializes in Women's Health Nurse Practitioner and practices in East Setauket, New York. Credentials: NP.
How much does Carrie Semelsberger, NP prescribe under Medicare Part D? ▼
In 2024, Carrie Semelsberger, NP wrote 134 Medicare Part D claims totaling $13K in drug costs for 55 beneficiaries.
What is Carrie Semelsberger, NP's Medicare quality score? ▼
Carrie Semelsberger, NP has a CMS MIPS Final Score of 98.5/100 (Quality: 82.9). 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 Carrie Semelsberger, NP located? ▼
Carrie Semelsberger, NP is located at 4 TECHNOLOGY DR, East Setauket, NY, 11733. Phone: (631) 444-4686.
What is Carrie Semelsberger, NP's NPI number? ▼
Carrie Semelsberger, NP's National Provider Identifier (NPI) is 1760795637, issued on 07/21/2010.
How many Women's Health Nurse Practitioner providers are there in the US? ▼
There are 9,754 Women's Health Nurse Practitioner providers across 55 states in the US. The average Women's Health Nurse Practitioner provider writes 269 Medicare Part D claims per year.
What drugs does Carrie Semelsberger, NP prescribe most often? ▼
Based on 2024 Medicare Part D data, Carrie Semelsberger, NP's most frequently prescribed drugs include Estradiol, Yuvafem, Tri-Sprintec. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carrie Semelsberger, NP accept Medicare? ▼
Carrie Semelsberger, NP appears in CMS Medicare data with 134 Part D claims and 55 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carrie Semelsberger, NP's credentials? ▼
Carrie Semelsberger, NP's NPI is 1760795637 with credentials NP. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.