NPI registry status
Active
2026 NPPES data Adult Health Nurse Practitioner NPI 1043253081 NURSE PRACTITIONER
Verify on CMS → Kathleen Carlson, NURSE PRACTITIONER
Adult Health Nurse Practitioner in Munster, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,519 in Adult Health 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
23
Medicare Part D claims · 13 beneficiaries · Adult Health Nurse Practitioner avg: 1K
MIPS score
33/100
▼ 50 pts below national avg 83.1 · Below average
Industry payments
$3.66
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kathleen Carlson, NURSE PRACTITIONER reported a CMS MIPS final score of 33/100 - below the 83.1 national average - and filed 23 Medicare Part D claims in 2023.
- 33/100
- MIPS score · -50 vs avg
- 23
- Part D claims, 2023
- $3.66
- industry payments (Sunshine Act)
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.
Kathleen Carlson, NURSE PRACTITIONER's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
33 3rd percentile higher than 3% 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 Kathleen Carlson, NURSE PRACTITIONER sits
This provider among adult health nurse practitioner peers
Across the 4,289 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Kathleen Carlson, NURSE PRACTITIONER writes more Part D claims than 5% of them and scores higher on MIPS quality than 2% - 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
Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Kathleen Carlson, NURSE PRACTITIONER. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Kathleen Carlson, NURSE PRACTITIONER?
Below national averagePrimary specialty
Adult Health Nurse Practitioner
Medicare Part D claims
23 98% vs specialty avg
MIPS final score
33/100 50.1 pts vs avg
Specialty distribution in Indiana
How Adult Health Nurse Practitioner compares to other specialties among Indiana providers
Medicare quality performance, MIPS
Kathleen Carlson, NURSE PRACTITIONER's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average
- MIPS Final Score
- 33/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Adult Health Nurse Practitioner) - 33/100 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).
Kathleen Carlson, NURSE PRACTITIONER appears in the CMS NPPES registry as an Adult Health Nurse Practitioner provider holding NURSE PRACTITIONER credentials at 761 45TH ST STE 103, Munster, IN, 46321, with a listed phone of (219) 922-3002. NPI 1043253081 was issued on 06/14/2006.
Medicare Part D records for calendar year 2023 show 23 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $8K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 33/100 for the 2023 performance year (Quality 22.9, Cost 62.3), compared with the national average of 83.1.
Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,519 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.
Practice Address
Provider Details
| NPI | 1043253081 |
|---|---|
| Specialty | Adult Health Nurse Practitioner |
| Credentials | NURSE PRACTITIONER |
| Gender | Female |
| NPI Issued | 06/14/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
33.0489
Final Score
Avg: 83.1
22.8618
Quality
62.3013
Cost
0
Promoting Interoperability
Reporting: Group practice
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Kathleen Carlson, NURSE PRACTITIONER. Source: openpaymentsdata.cms.gov.
Total received
$4
Largest payer
Organon Llc
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
23
Total Claims
$8K
Total Drug Cost
13
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 33
- Total Day Supply
- 972
- Generic Drug Cost
- $350
Patient Demographics
- Average Patient Age
- 70.8 years
- Avg HCC Risk Score
- 1.72
Adult Health Nurse Practitioner Overview
How Kathleen Carlson, NURSE PRACTITIONER fits within the Adult Health Nurse Practitioner landscape nationally.
29,519
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider
Kathleen Carlson, NURSE PRACTITIONER's 23 claims are below the specialty average of 1,201.
Nearby Adult Health Nurse Practitioner Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Carlson.
Dr. Jessica Abbott
APRN
New Albany, IN
Dr. Jane Abbott-Rider
MSN, APN
Logansport, IN
Dr. Lillian Abdur-Rahman
NP
Indianapolis, IN
Dr. Cynthia Adams
RN, MSN, APRN-BC
Indianapolis, IN
Dr. Jody Adams
NP
Crown Point, IN
Compare Adult Health 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 Indiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Health 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.
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Frequently Asked Questions
What is Kathleen Carlson, NURSE PRACTITIONER's specialty? ▼
Kathleen Carlson, NURSE PRACTITIONER specializes in Adult Health Nurse Practitioner and practices in Munster, Indiana. Credentials: NURSE PRACTITIONER.
How much does Kathleen Carlson, NURSE PRACTITIONER prescribe under Medicare Part D? ▼
In 2023, Kathleen Carlson, NURSE PRACTITIONER wrote 23 Medicare Part D claims totaling $8K in drug costs for 13 beneficiaries.
What is Kathleen Carlson, NURSE PRACTITIONER's Medicare quality score? ▼
Kathleen Carlson, NURSE PRACTITIONER has a CMS MIPS Final Score of 33/100 (Quality: 22.9, Cost: 62.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kathleen Carlson, NURSE PRACTITIONER located? ▼
Kathleen Carlson, NURSE PRACTITIONER is located at 761 45TH ST STE 103, Munster, IN, 46321. Phone: (219) 922-3002.
What is Kathleen Carlson, NURSE PRACTITIONER's NPI number? ▼
Kathleen Carlson, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1043253081, issued on 06/14/2006.
How many Adult Health Nurse Practitioner providers are there in the US? ▼
There are 29,519 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
Does Kathleen Carlson, NURSE PRACTITIONER accept Medicare? ▼
Kathleen Carlson, NURSE PRACTITIONER appears in CMS Medicare data with 23 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kathleen Carlson, NURSE PRACTITIONER's credentials? ▼
Kathleen Carlson, NURSE PRACTITIONER's NPI is 1043253081 with credentials NURSE PRACTITIONER. 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
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.