NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1851718241
Verify on CMS → Heather Palmer
Family Nurse Practitioner in Brattleboro, Vermont.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family 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
543
Medicare Part D claims · 338 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
78.6/100
▼ 4 pts below national avg 83.1 · Above neutral
What the federal data shows
Heather Palmer reported a CMS MIPS final score of 78.6/100 - below the 83.1 national average - and filed 543 Medicare Part D claims in 2023.
- 78.6/100
- MIPS score · -4 vs avg
- 543
- Part D claims, 2023
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 Palmer's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 27th percentile higher than 27% 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 Palmer sits
This provider among family nurse practitioner peers
Across the 27,154 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Heather Palmer writes more Part D claims than 56% of them and scores higher on MIPS quality than 26% - placing this provider in the high-volume, lower-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 family nurse practitioner peer from a representative sample of 60; the gold marker is Heather Palmer. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Heather Palmer?
Near national averagePrimary specialty
Family Nurse Practitioner
Medicare Part D claims
543 56% vs specialty avg
MIPS final score
78.6/100 4.5 pts vs avg
Specialty distribution in Vermont
How Family Nurse Practitioner compares to other specialties among Vermont providers
Medicare quality performance, MIPS
Heather Palmer's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 78.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Nurse Practitioner) - 78.6/100 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 Palmer appears in the CMS NPPES registry as a Family Nurse Practitioner provider at 1 ANNA MARSH LANE, Brattleboro, VT, 05302, with a listed phone of (802) 257-7785. NPI 1851718241 was issued on 03/24/2014.
Medicare Part D records for calendar year 2023 show 543 prescription claims written by this provider, covering 338 Medicare beneficiaries and totaling roughly $19K in drug spend, with an opioid prescribing rate of 2.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.6/100 for the 2023 performance year (Quality 75.2, Cost 53.5), compared with the national average of 83.1.
Family Nurse Practitioner is a high-volume specialty nationwide, with 210,832 enrolled providers across 56 states and an average of 1,222 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 | 1851718241 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Gender | Female |
| NPI Issued | 03/24/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.6154
Final Score
Avg: 83.1
75.2274
Quality
53.4905
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Heather Palmer 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.
Cheshire Medical Center
★★★★☆ 4/5
Keene, NH
Acute Care Hospitals
CMS CCN: 300019
Mary Hitchcock Memorial Hospital
★★★☆☆ 3/5
Keene, NH
Acute Care Hospitals
CMS CCN: 300003
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
543
Total Claims
$19K
Total Drug Cost
338
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 556
- Total Day Supply
- 6,203
- Generic Drug Cost
- $8K
- Opioid Claims
- 11 (2.0% rate)
- Antibiotic Claims
- 262
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 1.09
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 75, 65-74: 122, 75-84: 98, 85+: 43
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Heather Palmer prescribes most
Top Medicare Part D drugs by claim count, 2023
- Doxycycline Monohy…
Doxycycline Monohydrate
87 claims
- Prednisone
Prednisone
66 claims
- Cephalexin
Cephalexin
49 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
48 claims
- Albuterol Sulfate … 33
Albuterol Sulfate Hfa
33 claims
- Nitrofurantoin Mon… 21
Nitrofurantoin Mono-Macro
21 claims
- Triamcinolone Acet… 13
Triamcinolone Acetonide
13 claims
- Cefadroxil 12
Cefadroxil
12 claims
| Drug | Claims |
|---|---|
| Doxycycline Monohydrate | 87 |
| Prednisone | 66 |
| Cephalexin | 49 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 48 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 33 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 21 |
| Triamcinolone Acetonide | 13 |
| Cefadroxil | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Heather Palmer fits within the Family Nurse Practitioner landscape nationally.
210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider
Heather Palmer's 543 claims are below the specialty average of 1,222.
Nearby Family Nurse Practitioner Providers in Vermont
Other clinicians with the same primary specialty enrolled in Vermont, drawn from the same CMS NPPES roster as Palmer.
Dr. Lanre Abawonse
APRN
Burlington, VT
Dr. Tara Abele
MSN, FNP
Colchester, VT
Dr. Lauren Abramowitz
FNP
Montpelier, VT
Dr. Adelaide Adjovu
NP
Lyndonville, VT
Dr. Christie Aldrich
FNP
Barton, VT
Compare Family 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 Vermont medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Vermont
Frequently Asked Questions
What is Heather Palmer's specialty? ▼
Heather Palmer specializes in Family Nurse Practitioner and practices in Brattleboro, Vermont.
How much does Heather Palmer prescribe under Medicare Part D? ▼
In 2023, Heather Palmer wrote 543 Medicare Part D claims totaling $19K in drug costs for 338 beneficiaries.
What is Heather Palmer's Medicare quality score? ▼
Heather Palmer has a CMS MIPS Final Score of 78.6/100 (Quality: 75.2, Cost: 53.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Heather Palmer located? ▼
Heather Palmer is located at 1 ANNA MARSH LANE, Brattleboro, VT, 05302. Phone: (802) 257-7785.
What is Heather Palmer's NPI number? ▼
Heather Palmer's National Provider Identifier (NPI) is 1851718241, issued on 03/24/2014.
Does Heather Palmer prescribe opioids? ▼
Yes, Heather Palmer had 11 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 210,832 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Heather Palmer prescribe most often? ▼
Based on 2023 Medicare Part D data, Heather Palmer's most frequently prescribed drugs include Doxycycline Monohydrate, Prednisone, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Heather Palmer accept Medicare? ▼
Heather Palmer appears in CMS Medicare data with 543 Part D claims and 338 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Heather Palmer's credentials? ▼
Heather Palmer's NPI is 1851718241. 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
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 May 2026.