2026 NPPES data Registered Nurse NPI 1407173412 ACNP-BC
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Heather Tramel, ACNP-BC

Registered Nurse in Madison, 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 175,652 in Registered Nurse, 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
46
Medicare Part D claims · 17 beneficiaries · Registered Nurse avg: 1K
MIPS score
77.4/100
▼ 6 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Heather Tramel, ACNP-BC reported a CMS MIPS final score of 77.4/100 — below the 83.1 national average — and filed 46 Medicare Part D claims in 2023.

77.4/100
MIPS score · -6 vs avg
46
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 Tramel, ACNP-BC's MIPS score vs every scored U.S. clinician

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

77 24th percentile higher than 24% 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 Tramel, ACNP-BC sits

This provider among registered nurse peers

Across the 3,327 registered nurse providers who report both Medicare Part D prescribing and a MIPS quality score, Heather Tramel, ACNP-BC writes more Part D claims than 11% of them and scores higher on MIPS quality than 21% — placing this provider in the lower-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 quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 20Heather Tramel, ACNP-BC — Part D claim volume — percentile in specialty: 11 · MIPS quality — percentile: 21
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one registered nurse peer from a representative sample of 60; the gold marker is Heather Tramel, ACNP-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Heather Tramel, ACNP-BC?

Below national average

NPI registry status

Active

Issued 04/29/2010

NPI 1407173412

Primary specialty

Registered Nurse

High-volume

175,652 US NPIs in this specialty

Medicare Part D claims

46 95% vs specialty avg

2023 prescription claims

Specialty avg: 1,000

MIPS final score

77.4/100 5.7 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Registered Nurse compares to other specialties among Wisconsin providers

Wisconsin providers

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

Physical Therapist — 5.6%Physical Therapist5.6%Pharmacist — 4.8%Pharmacist4.8%Registered Nurse — 4.5%Registered Nurse4.5%Professional Counselor — 3.3%Professional Counselor3.3%Student in an Organized Health Care Education/Training Program — 3.3%Student in an Organized Health Care Education/Training Program3.3%Family Medicine Physician — 3.2%Family Medicine Physician3.2%
Largest specialties in Wisconsin (% of in-state providers)

Medicare quality performance — MIPS

Heather Tramel, ACNP-BC's 2023 MIPS final score plotted against the Registered Nurse national average

Below national average
MIPS Final Score
77.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Registered Nurse) — 77.4/100 vs national avg 83.1

0%100%National avg83%77.4%
MIPS final score (Registered Nurse) — 77.4/100 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 Tramel, ACNP-BC appears in the CMS NPPES registry as a Registered Nurse provider holding ACNP-BC credentials at 4602 EASTPARK BLVD, Madison, WI, 53718, with a listed phone of (608) 263-6400. NPI 1407173412 was issued on 04/29/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Tramel 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 46 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $4K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.4/100 for the 2023 performance year (Quality 81.8, Cost 62.1), compared with the national average of 83.1.

Registered Nurse is a high-volume specialty nationwide, with 175,652 enrolled providers across 56 states and an average of 1,000 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

4602 EASTPARK BLVD
Madison, WI 53718

Provider Details

NPI 1407173412
Specialty Registered Nurse
Credentials ACNP-BC
Gender Female
NPI Issued 04/29/2010

CMS Quality Score (MIPS)

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

77.4384
Final Score
Avg: 83.1
81.8371
Quality
62.1241
Cost
77
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Heather Tramel, ACNP-BC 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.

University OF Wisconsin Medical Foundation Inc
Madison, 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).

Medicare Part D Prescribing Data

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

46
Total Claims
$4K
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
48
Total Day Supply
979
Generic Drug Cost
$529

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
3.04

Registered Nurse Overview

How Heather Tramel, ACNP-BC fits within the Registered Nurse landscape nationally.

175,652
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider

Heather Tramel, ACNP-BC's 46 claims are below the specialty average of 1,000.

Nearby Registered Nurse Providers in Wisconsin

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

Compare Registered Nurse 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 Registered Nurse 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 Tramel, ACNP-BC's specialty?
Heather Tramel, ACNP-BC specializes in Registered Nurse and practices in Madison, Wisconsin. Credentials: ACNP-BC.
How much does Heather Tramel, ACNP-BC prescribe under Medicare Part D?
In 2023, Heather Tramel, ACNP-BC wrote 46 Medicare Part D claims totaling $4K in drug costs for 17 beneficiaries.
What is Heather Tramel, ACNP-BC's Medicare quality score?
Heather Tramel, ACNP-BC has a CMS MIPS Final Score of 77.4/100 (Quality: 81.8, Cost: 62.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Heather Tramel, ACNP-BC located?
Heather Tramel, ACNP-BC is located at 4602 EASTPARK BLVD, Madison, WI, 53718. Phone: (608) 263-6400.
What is Heather Tramel, ACNP-BC's NPI number?
Heather Tramel, ACNP-BC's National Provider Identifier (NPI) is 1407173412, issued on 04/29/2010.
How many Registered Nurse providers are there in the US?
There are 175,652 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
Does Heather Tramel, ACNP-BC accept Medicare?
Heather Tramel, ACNP-BC appears in CMS Medicare data with 46 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Heather Tramel, ACNP-BC's credentials?
Heather Tramel, ACNP-BC's NPI is 1407173412 with credentials ACNP-BC. 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.