2026 NPPES data Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist NPI 1376833467
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ELIZABETH HYLTON

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in WORCESTER, Massachusetts. 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
2K
Medicare Part D claims · 63 beneficiaries · Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist avg: 722
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: ELIZABETH HYLTON is a Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist ([object Object]) practicing in WORCESTER, Massachusetts with a Medicare Part D prescribing footprint of 2K claims across 63 beneficiaries — 7% brand-name prescribing .

What stands out: ELIZABETH HYLTON filed 1,684 Medicare Part D claims in 2023 across WORCESTER, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ELIZABETH HYLTON at a glance

Quality data not reported

NPI registry status

Active

Issued 04/11/2011

NPI 1376833467

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Rare

232 US NPIs in this specialty

Medicare Part D claims

1,684 133% vs specialty avg

2023 prescription claims

Specialty avg: 722

Specialty distribution in Massachusetts

How Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among Massachusetts providers

Massachusetts providers

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist share within Massachusetts

1. Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist ABMS/AOA estimate

Est. board-certified rate (Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist) — ABMS / AOA estimate

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).

ELIZABETH HYLTON is a Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist provider practicing in WORCESTER, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1376833467. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ELIZABETH HYLTON appears in the CMS NPPES registry as a Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist provider at 38 FRONT ST, WORCESTER, MA, 01608, with a listed phone of (508) 756-5400. NPI 1376833467 was issued on 04/11/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HYLTON 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 1,684 prescription claims written by this provider, covering 63 Medicare beneficiaries and totaling roughly $221K in drug spend, split 7% brand-name and 93% generic by claim count. 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.

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist is a narrow specialty nationwide, with 232 enrolled providers across 44 states and an average of 722 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

38 FRONT ST
WORCESTER, MA 01608

Provider Details

NPI 1376833467
Specialty Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Gender Female
NPI Issued 04/11/2011

Hospital and facility affiliations

Facilities where ELIZABETH HYLTON 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.

COUNSELING AND ASSESSMENT CLINIC OF WORCESTER LLC
WORCESTER, MA

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to ELIZABETH HYLTON. To verify ELIZABETH HYLTON's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

ELIZABETH HYLTON — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 1,684 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.

1,684
Total Claims
$221K
Total Drug Cost
63
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,939
Total Day Supply
55,740
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$175K
Generic Drug Cost
$46K

Patient Demographics

Average Patient Age
56.9 years
Avg HCC Risk Score
1.32
Gender Split
63% female / 37% male
Age Distribution
<65: 46, 65-74: 16, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Lamotrigine
129
Buspirone Hcl
125
Quetiapine Fumarate
95
Hydroxyzine Pamoate
94
Mirtazapine
91
Venlafaxine Hcl Er
Venlafaxine Hcl
81
Duloxetine Hcl
71
Clonazepam
67
Trazodone Hcl
64
Escitalopram Oxalate
60

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Overview

How ELIZABETH HYLTON fits within the Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist landscape nationally.

232
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Providers in US
44
States with Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
722
Avg Claims per Provider

ELIZABETH HYLTON's 1,684 claims are above the specialty average of 722.

Nearby Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Providers in Massachusetts

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

Compare Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is ELIZABETH HYLTON's specialty?
ELIZABETH HYLTON specializes in Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist and practices in WORCESTER, Massachusetts.
How much does ELIZABETH HYLTON prescribe under Medicare Part D?
In 2023, ELIZABETH HYLTON wrote 1,684 Medicare Part D claims totaling $221K in drug costs for 63 beneficiaries.
Where is ELIZABETH HYLTON located?
ELIZABETH HYLTON is located at 38 FRONT ST, WORCESTER, MA, 01608. Phone: (508) 756-5400.
What is ELIZABETH HYLTON's NPI number?
ELIZABETH HYLTON's National Provider Identifier (NPI) is 1376833467, issued on 04/11/2011.
Does ELIZABETH HYLTON prescribe more brand-name or generic drugs?
ELIZABETH HYLTON's prescribing is 7% brand-name and 93% generic drugs by claim count, with $175K in brand drug costs.
How many Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist providers are there in the US?
There are 232 Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist providers across 44 states in the US. The average Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist provider writes 722 Medicare Part D claims per year.
What drugs does ELIZABETH HYLTON prescribe most often?
Based on 2023 Medicare Part D data, ELIZABETH HYLTON's most frequently prescribed drugs include Lamotrigine, Buspirone Hcl, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELIZABETH HYLTON accept Medicare?
ELIZABETH HYLTON appears in CMS Medicare data with 1,684 Part D claims and 63 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELIZABETH HYLTON's credentials?
ELIZABETH HYLTON's NPI is 1376833467. 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.
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