2026 NPPES data Registered Nurse NPI 1437733003 CRNA
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Julie Mesiano, CRNA

Registered Nurse in Lebanon, New Hampshire.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 177,204 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.
MIPS score
76/100
▼ 7 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Julie Mesiano, CRNA reported a CMS MIPS final score of 76/100 - below the 83.1 national average.

76/100
MIPS score · -7 vs avg

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.

Julie Mesiano, CRNA's MIPS score vs every scored U.S. clinician

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

76 21st percentile higher than 21% 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+: 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

What does the federal data show about Julie Mesiano, CRNA?

Below national average

NPI registry status

Active

Issued 05/10/2021

NPI 1437733003

Primary specialty

Registered Nurse

High-volume

177,204 US NPIs in this specialty

MIPS final score

76/100 7.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New Hampshire

How Registered Nurse compares to other specialties among New Hampshire providers

New Hampshire providers
Mental Health Counselor - 6.6%Mental Health Counselor6.6%Physical Therapist - 5%Physical Therapist5%Clinical Social Worker - 4.4%Clinical Social Worker4.4%Pharmacist - 3.9%Pharmacist3.9%Case Manager/Care Coordinator - 3.8%Case Manager/Care Coordinator3.8%Occupational Therapist - 3.8%Occupational Therapist3.8%Registered Nurse - 1.7%Registered Nurse1.7%
Largest specialties in New Hampshire (% of in-state providers)

Medicare quality performance, MIPS

Julie Mesiano, CRNA's 2023 MIPS final score plotted against the Registered Nurse national average

Below national average
MIPS Final Score
76/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Registered Nurse) - 76/100 vs national avg 83.1

0%100%National avg83%76%
MIPS final score (Registered Nurse) - 76/100 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).

Julie Mesiano, CRNA appears in the CMS NPPES registry as a Registered Nurse provider holding CRNA credentials at 1 MEDICAL CENTER DR, Lebanon, NH, 03756, with a listed phone of (603) 650-5922. NPI 1437733003 was issued on 05/10/2021.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal, many Registered Nurse providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76/100 for the 2023 performance year (Quality 65.3, Cost 54.7), compared with the national average of 83.1.

Registered Nurse is a high-volume specialty nationwide, with 177,204 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

1 MEDICAL CENTER DR
Lebanon, NH 03756

Provider Details

NPI 1437733003
Specialty Registered Nurse
Credentials CRNA
Gender Female
NPI Issued 05/10/2021

CMS Quality Score (MIPS)

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

76.0183
Final Score
Avg: 83.1
65.3198
Quality
54.7412
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Julie Mesiano, CRNA 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.

Dartmouth-Hitchcock Clinic
Lebanon, NH

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Registered Nurse Overview

How Julie Mesiano, CRNA fits within the Registered Nurse landscape nationally.

177,204
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider

Nearby Registered Nurse Providers in New Hampshire

Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as Mesiano.

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 New Hampshire 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 Julie Mesiano, CRNA's specialty?
Julie Mesiano, CRNA specializes in Registered Nurse and practices in Lebanon, New Hampshire. Credentials: CRNA.
What is Julie Mesiano, CRNA's Medicare quality score?
Julie Mesiano, CRNA has a CMS MIPS Final Score of 76/100 (Quality: 65.3, Cost: 54.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Julie Mesiano, CRNA located?
Julie Mesiano, CRNA is located at 1 MEDICAL CENTER DR, Lebanon, NH, 03756. Phone: (603) 650-5922.
What is Julie Mesiano, CRNA's NPI number?
Julie Mesiano, CRNA's National Provider Identifier (NPI) is 1437733003, issued on 05/10/2021.
How many Registered Nurse providers are there in the US?
There are 177,204 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
Does Julie Mesiano, CRNA accept Medicare?
Julie Mesiano, CRNA appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Julie Mesiano, CRNA's credentials?
Julie Mesiano, CRNA's NPI is 1437733003 with credentials CRNA. 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.
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.

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.