JULIANNE CARSON-HEM, ARNP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding ARNP credentials at 1401 50TH ST STE 100, WEST DES MOINES, IA, 50266, with a listed phone of (515) 225-7132. NPI 1184211591 was issued on 12/31/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARSON-HEM 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 14,530 prescription claims written by this provider, covering 669 Medicare beneficiaries and totaling roughly $760K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 5.7%. 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 12.7351/100 for the 2023 performance year (Quality 0, Cost 42.4505), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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.