NPI registry status
Active
2026 NPPES data Primary Care Nurse Practitioner NPI 1205212214
Verify on CMS → Heather Meeusen
Primary Care Nurse Practitioner in Plymouth, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,138 in Primary Care 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
1K
Medicare Part D claims · 176 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
31%
generic claims · 59% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.6/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$473.08
16 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Heather Meeusen reported a CMS MIPS final score of 94.6/100 - above the 83.1 national average - and filed 1,487 Medicare Part D claims in 2023.
- 94.6/100
- MIPS score · +12 vs avg
- 1K
- Part D claims, 2023
- 31%
- generic prescribing
- $473.08
- industry payments (Sunshine Act)
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.
Heather Meeusen's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
95 Top 25% higher than 75% of 477,587 scored providers
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 Heather Meeusen sits
This provider among primary care nurse practitioner peers
Across the 958 primary care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Heather Meeusen writes more Part D claims than 68% of them and scores higher on MIPS quality than 77% - placing this provider in the high-volume, high-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
Each dot is one primary care nurse practitioner peer from a representative sample of 60; the gold marker is Heather Meeusen. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Heather Meeusen?
High performer (top quartile)Primary specialty
Primary Care Nurse Practitioner
Medicare Part D claims
1,487 9% vs specialty avg
MIPS final score
94.6/100 11.5 pts vs avg
Specialty distribution in Wisconsin
How Primary Care Nurse Practitioner compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
Heather Meeusen's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average
- MIPS Final Score
- 94.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Primary Care Nurse Practitioner) - 94.6/100 vs national avg 83.1
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).
Heather Meeusen appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider at 825 WALTON DR, Plymouth, WI, 53073, with a listed phone of (920) 893-0903. NPI 1205212214 was issued on 08/03/2015.
Medicare Part D records for calendar year 2023 show 1,487 prescription claims written by this provider, covering 176 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, split 59% brand-name and 31% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.6/100 for the 2023 performance year (Quality 85.2), compared with the national average of 83.1.
Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 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
Provider Details
| NPI | 1205212214 |
|---|---|
| Specialty | Primary Care Nurse Practitioner |
| Gender | Female |
| NPI Issued | 08/03/2015 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.6154
Final Score
Avg: 83.1
85.1795
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Heather Meeusen 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.
St Vincent Hospital-Hospital Sisters-Third Order OF St Francis
Green Bay, WI
St. Nicholas Hospital-Sisters OF The Third Order OF St Francis
Sheboygan, WI
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Meeusen. Source: openpaymentsdata.cms.gov.
Total received
$473
Largest payer
Medtronic, 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.
Brand vs generic prescribing mix · Brand-heavy
Heather Meeusen - brand share 59.0%
Primary Care Nurse Practitioner average
59% brand-name claims vs 31% generic, on 1,487 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.
1,487
Total Claims
$1.4M
Total Drug Cost
176
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,431
- Total Day Supply
- 101,169
- Brand vs Generic
- 59% brand / 31% generic
- Brand Drug Cost
- $1.4M
- Generic Drug Cost
- $8K
Patient Demographics
- Average Patient Age
- 68.2 years
- Avg HCC Risk Score
- 1.66
- Gender Split
- 59% female / 41% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Heather Meeusen prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ozempic
Ozempic
149 claims
- Metformin Hcl
Metformin Hcl
91 claims
- Metformin Hcl Er
Metformin Hcl Er
85 claims
- Levothyroxine Sodium
Levothyroxine Sodium
72 claims
- Trulicity
Trulicity
61 claims
- Glipizide 55
Glipizide
55 claims
- Humalog Kwikpen U-… 46
Humalog Kwikpen U-100
46 claims
- Mounjaro 44
Mounjaro
44 claims
| Drug | Claims |
|---|---|
| Ozempic Semaglutide | 149 |
| Metformin Hcl | 91 |
| Metformin Hcl Er Metformin Hcl | 85 |
| Levothyroxine Sodium | 72 |
| Trulicity Dulaglutide | 61 |
| Glipizide | 55 |
| Humalog Kwikpen U-100 Insulin Lispro | 46 |
| Mounjaro Tirzepatide | 44 |
| Novolog Flexpen Insulin Aspart | 43 |
| Methimazole | 38 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Primary Care Nurse Practitioner Overview
How Heather Meeusen fits within the Primary Care Nurse Practitioner landscape nationally.
10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider
Heather Meeusen's 1,487 claims are above the specialty average of 1,363.
Nearby Primary Care Nurse Practitioner Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Meeusen.
Dr. Folake Adeniyi
RN
Germantown, WI
Dr. Melinda Altman
ARNP
Plymouth, WI
Dr. Brittany Amborn
APNP
Eau Claire, WI
Dr. Katherine Andrew
APNP
Waukesha, WI
Dr. Ashley Andrus
APNP
Oshkosh, WI
Compare Primary Care 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 Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Primary Care 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.
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Frequently Asked Questions
What is Heather Meeusen's specialty? ▼
Heather Meeusen specializes in Primary Care Nurse Practitioner and practices in Plymouth, Wisconsin.
How much does Heather Meeusen prescribe under Medicare Part D? ▼
In 2023, Heather Meeusen wrote 1,487 Medicare Part D claims totaling $1.4M in drug costs for 176 beneficiaries.
What is Heather Meeusen's Medicare quality score? ▼
Heather Meeusen has a CMS MIPS Final Score of 94.6/100 (Quality: 85.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Heather Meeusen located? ▼
Heather Meeusen is located at 825 WALTON DR, Plymouth, WI, 53073. Phone: (920) 893-0903.
What is Heather Meeusen's NPI number? ▼
Heather Meeusen's National Provider Identifier (NPI) is 1205212214, issued on 08/03/2015.
Does Heather Meeusen prescribe more brand-name or generic drugs? ▼
Heather Meeusen's prescribing is 59% brand-name and 31% generic drugs by claim count, with $1.4M in brand drug costs.
How many Primary Care Nurse Practitioner providers are there in the US? ▼
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does Heather Meeusen prescribe most often? ▼
Based on 2023 Medicare Part D data, Heather Meeusen's most frequently prescribed drugs include Ozempic, Metformin Hcl, Metformin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Heather Meeusen accept Medicare? ▼
Heather Meeusen appears in CMS Medicare data with 1,487 Part D claims and 176 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Heather Meeusen's credentials? ▼
Heather Meeusen's NPI is 1205212214. 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 (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.