2026 NPPES data Family Nurse Practitioner NPI 1952511842 CRNP
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Heather Sugarman, CRNP

Family Nurse Practitioner in Hazleton, Pennsylvania. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 209,817 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
11K
Medicare Part D claims · 636 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
87%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.3/100
▼ 4 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Heather Sugarman, CRNP reported a CMS MIPS final score of 79.3/100 — below the 83.1 national average — and filed 11,411 Medicare Part D claims in 2023.

79.3/100
MIPS score · -4 vs avg
11K
Part D claims, 2023
87%
generic prescribing

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 Sugarman, CRNP's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

79 30th percentile higher than 30% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Sugarman, CRNP 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 Sugarman, CRNP writes more Part D claims than 100% of them and scores higher on MIPS quality than 28% — 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 43Heather Sugarman, CRNP — Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 28
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 Sugarman, CRNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Heather Sugarman, CRNP?

Near national average

NPI registry status

Active

Issued 05/22/2007

NPI 1952511842

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

11,411 vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

79.3/100 3.8 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Family Nurse Practitioner compares to other specialties among Pennsylvania providers

Pennsylvania providers

Largest specialties in Pennsylvania (% of in-state providers)

Student in an Organized Health Care Education/Training Program — 5.6%Student in an Organized Health Care Education/Training Program5.6%Pharmacist — 5%Pharmacist5%Physical Therapist — 4.9%Physical Therapist4.9%Mental Health Counselor — 3.9%Mental Health Counselor3.9%Internal Medicine Physician — 3.3%Internal Medicine Physician3.3%Professional Counselor — 3.2%Professional Counselor3.2%Family Nurse Practitioner — 2.5%Family Nurse Practitioner2.5%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance — MIPS

Heather Sugarman, CRNP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Near national average
MIPS Final Score
79.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 79.3/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Family Nurse Practitioner) — 79.3/100 vs national avg 83.1

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 Sugarman, CRNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding CRNP credentials at 149 N VINE ST, Hazleton, PA, 18201, with a listed phone of (570) 454-0500. NPI 1952511842 was issued on 05/22/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Sugarman 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 11,411 prescription claims written by this provider, covering 636 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 11% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.2%. 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 79.3/100 for the 2023 performance year (Quality 75.4, Cost 62.2), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 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

149 N VINE ST
Hazleton, PA 18201

Provider Details

NPI 1952511842
Specialty Family Nurse Practitioner
Credentials CRNP
Gender Female
NPI Issued 05/22/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

79.2581
Final Score
Avg: 83.1
75.3556
Quality
62.219
Cost
87
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Heather Sugarman, CRNP 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.

Lehigh Valley Physician Group
Allentown, PA
Phoenix Rehabilitation And Health Services Inc
Cranberry Township, PA

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to Heather Sugarman, CRNP. To verify Heather Sugarman, CRNP's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Heather Sugarman, CRNP — brand share 11.0%
Family Nurse Practitioner average

11% brand-name claims vs 87% generic, on 11,411 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.

11,411
Total Claims
$1.1M
Total Drug Cost
636
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
23,145
Total Day Supply
680,281
Brand vs Generic
11% brand / 87% generic
Brand Drug Cost
$910K
Generic Drug Cost
$187K
Opioid Claims
251 (2.2% rate)
Antibiotic Claims
200

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.13
Gender Split
62% female / 38% male
Age Distribution
<65: 80, 65-74: 266, 75-84: 208, 85+: 82

Top Prescribed Drugs (Medicare Part D)

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

What Heather Sugarman, CRNP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
829
Lisinopril
592
Levothyroxine Sodium
553
Amlodipine Besylate
441
Metoprolol Succinate
439
Alprazolam
271
Losartan Potassium
263
Omeprazole
259
Metformin Hcl
231
Rosuvastatin Calcium
217

* 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 Sugarman, CRNP fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Heather Sugarman, CRNP's 11,411 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Pennsylvania

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

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 Pennsylvania 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.

Frequently Asked Questions

What is Heather Sugarman, CRNP's specialty?
Heather Sugarman, CRNP specializes in Family Nurse Practitioner and practices in Hazleton, Pennsylvania. Credentials: CRNP.
How much does Heather Sugarman, CRNP prescribe under Medicare Part D?
In 2023, Heather Sugarman, CRNP wrote 11,411 Medicare Part D claims totaling $1.1M in drug costs for 636 beneficiaries.
What is Heather Sugarman, CRNP's Medicare quality score?
Heather Sugarman, CRNP has a CMS MIPS Final Score of 79.3/100 (Quality: 75.4, Cost: 62.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Heather Sugarman, CRNP located?
Heather Sugarman, CRNP is located at 149 N VINE ST, Hazleton, PA, 18201. Phone: (570) 454-0500.
What is Heather Sugarman, CRNP's NPI number?
Heather Sugarman, CRNP's National Provider Identifier (NPI) is 1952511842, issued on 05/22/2007.
Does Heather Sugarman, CRNP prescribe more brand-name or generic drugs?
Heather Sugarman, CRNP's prescribing is 11% brand-name and 87% generic drugs by claim count, with $910K in brand drug costs.
Does Heather Sugarman, CRNP prescribe opioids?
Yes, Heather Sugarman, CRNP had 251 opioid claims in 2023 with an opioid prescribing rate of 2.2%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 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 Sugarman, CRNP prescribe most often?
Based on 2023 Medicare Part D data, Heather Sugarman, CRNP's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Heather Sugarman, CRNP accept Medicare?
Heather Sugarman, CRNP appears in CMS Medicare data with 11,411 Part D claims and 636 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Heather Sugarman, CRNP's credentials?
Heather Sugarman, CRNP's NPI is 1952511842 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.
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.