ELLEN MIDDLETON, NP appears in the CMS NPPES registry as a Obstetrics & Gynecology Nurse Practitioner provider holding NP credentials at 2210 E ILLINOIS AVE STE 408, FRESNO, CA, 93701, with a listed phone of (559) 443-2694. NPI 1245301340 was issued on 11/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MIDDLETON 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 63 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $6K in drug spend, split 29% brand-name and 71% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.0052/100 for the 2023 performance year (Quality 81.3321, Cost 45.0265), compared with the national average of 83.1.

Obstetrics & Gynecology Nurse Practitioner is a narrow specialty nationwide, with 2,864 enrolled providers across 52 states and an average of 232 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.