2026 NPPES data Pediatric Nurse Practitioner NPI 1255678058 CRNP
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HEATHER CARLTON, CRNP

Pediatric Nurse Practitioner in BIRMINGHAM, Alabama. 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
18
Medicare Part D claims · Pediatric Nurse Practitioner avg: 312
Industry payments
$25.94
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HEATHER CARLTON, CRNP is a Pediatric Nurse Practitioner ([object Object]) practicing in BIRMINGHAM, Alabama with a Medicare Part D prescribing footprint of 18 claims . Industry payments of $25.94 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HEATHER CARLTON, CRNP filed 18 Medicare Part D claims in 2023 across BIRMINGHAM, Alabama. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

HEATHER CARLTON, CRNP at a glance

Quality data not reported

NPI registry status

Active

Issued 01/14/2013

NPI 1255678058

Primary specialty

Pediatric Nurse Practitioner

Mid-sized

21,082 US NPIs in this specialty

Medicare Part D claims

18 94% vs specialty avg

2023 prescription claims

Specialty avg: 312

Specialty distribution in Alabama

How Pediatric Nurse Practitioner compares to other specialties among Alabama providers

Alabama providers

Pediatric Nurse Practitioner share within Alabama

1. Pediatric Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Nurse Practitioner share within Alabama

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Pediatric Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Nurse Practitioner) — 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).

HEATHER CARLTON, CRNP is a Pediatric Nurse Practitioner provider practicing in BIRMINGHAM, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: CRNP. NPI: 1255678058. 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.

HEATHER CARLTON, CRNP appears in the CMS NPPES registry as a Pediatric Nurse Practitioner provider holding CRNP credentials at 1600 7TH AVE S, BIRMINGHAM, AL, 35233, with a listed phone of (205) 638-5446. NPI 1255678058 was issued on 01/14/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARLTON 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 18 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $2K in drug spend. 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.

Pediatric Nurse Practitioner is a mid-sized specialty nationwide, with 21,082 enrolled providers across 52 states and an average of 312 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

1600 7TH AVE S
BIRMINGHAM, AL 35233

Provider Details

NPI 1255678058
Specialty Pediatric Nurse Practitioner
Credentials CRNP
Gender Female
NPI Issued 01/14/2013

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 HEATHER CARLTON, CRNP. Source: openpaymentsdata.cms.gov.

Total received

$26

Largest payer

PFIZER 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

18
Total Claims
$2K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
18
Total Day Supply
516
Brand Drug Cost
$0
Generic Drug Cost
$2K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
16.5 years
Avg HCC Risk Score
7.62

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Penicillin V Potassium
11

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

Pediatric Nurse Practitioner Overview

How HEATHER CARLTON, CRNP fits within the Pediatric Nurse Practitioner landscape nationally.

21,082
Pediatric Nurse Practitioner Providers in US
52
States with Pediatric Nurse Practitioner
312
Avg Claims per Provider

HEATHER CARLTON, CRNP's 18 claims are below the specialty average of 312.

Nearby Pediatric Nurse Practitioner Providers in Alabama

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

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

Frequently Asked Questions

What is HEATHER CARLTON, CRNP's specialty?
HEATHER CARLTON, CRNP specializes in Pediatric Nurse Practitioner and practices in BIRMINGHAM, Alabama. Credentials: CRNP.
How much does HEATHER CARLTON, CRNP prescribe under Medicare Part D?
In 2023, HEATHER CARLTON, CRNP wrote 18 Medicare Part D claims totaling $2K in drug costs for N/A beneficiaries.
Where is HEATHER CARLTON, CRNP located?
HEATHER CARLTON, CRNP is located at 1600 7TH AVE S, BIRMINGHAM, AL, 35233. Phone: (205) 638-5446.
What is HEATHER CARLTON, CRNP's NPI number?
HEATHER CARLTON, CRNP's National Provider Identifier (NPI) is 1255678058, issued on 01/14/2013.
How many Pediatric Nurse Practitioner providers are there in the US?
There are 21,082 Pediatric Nurse Practitioner providers across 52 states in the US. The average Pediatric Nurse Practitioner provider writes 312 Medicare Part D claims per year.
What drugs does HEATHER CARLTON, CRNP prescribe most often?
Based on 2023 Medicare Part D data, HEATHER CARLTON, CRNP's most frequently prescribed drugs include Penicillin V Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HEATHER CARLTON, CRNP accept Medicare?
HEATHER CARLTON, CRNP appears in CMS Medicare data with 18 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEATHER CARLTON, CRNP's credentials?
HEATHER CARLTON, CRNP's NPI is 1255678058 with credentials CRNP. 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