2026 NPPES data Adult Health Nurse Practitioner NPI 1811128531 NP
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MECHELLE HOWARD, NP

Adult Health Nurse Practitioner in CARLSBAD, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
156
Medicare Part D claims · 26 beneficiaries · Adult Health Nurse Practitioner avg: 1K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

MECHELLE HOWARD, NP reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 156 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
156
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.

MECHELLE HOWARD, NP's MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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

What does the federal data show about MECHELLE HOWARD, NP?

Below national average

NPI registry status

Active

Issued 07/29/2009

NPI 1811128531

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

156 87% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Adult Health Nurse Practitioner compares to other specialties among California providers

California providers

Adult Health Nurse Practitioner share within California

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within California

Medicare quality performance — MIPS

MECHELLE HOWARD, NP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Adult Health Nurse Practitioner) — 75/100 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).

MECHELLE HOWARD, NP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding NP credentials at 5838 EDISON PL STE 100, CARLSBAD, CA, 92008, with a listed phone of (800) 275-3243. NPI 1811128531 was issued on 07/29/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HOWARD 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 156 prescription claims written by this provider, covering 26 Medicare beneficiaries and totaling roughly $2K 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 75/100 for the 2023 performance year, 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.

Practice Address

5838 EDISON PL STE 100
CARLSBAD, CA 92008

Provider Details

NPI 1811128531
Specialty Adult Health Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 07/29/2009

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to MECHELLE HOWARD, NP. To verify MECHELLE HOWARD, NP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

156
Total Claims
$2K
Total Drug Cost
26
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
156
Total Day Supply
2,917
Brand Drug Cost
$0
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
2.14
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

What MECHELLE HOWARD, NP 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
Risperidone
59
Trazodone Hcl
43
Divalproex Sodium
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Adult Health Nurse Practitioner Overview

How MECHELLE HOWARD, NP fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

MECHELLE HOWARD, NP's 156 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in California

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

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is MECHELLE HOWARD, NP's specialty?
MECHELLE HOWARD, NP specializes in Adult Health Nurse Practitioner and practices in CARLSBAD, California. Credentials: NP.
How much does MECHELLE HOWARD, NP prescribe under Medicare Part D?
In 2023, MECHELLE HOWARD, NP wrote 156 Medicare Part D claims totaling $2K in drug costs for 26 beneficiaries.
What is MECHELLE HOWARD, NP's Medicare quality score?
MECHELLE HOWARD, NP has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MECHELLE HOWARD, NP located?
MECHELLE HOWARD, NP is located at 5838 EDISON PL STE 100, CARLSBAD, CA, 92008. Phone: (800) 275-3243.
What is MECHELLE HOWARD, NP's NPI number?
MECHELLE HOWARD, NP's National Provider Identifier (NPI) is 1811128531, issued on 07/29/2009.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 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.
What drugs does MECHELLE HOWARD, NP prescribe most often?
Based on 2023 Medicare Part D data, MECHELLE HOWARD, NP's most frequently prescribed drugs include Risperidone, Trazodone Hcl, Divalproex Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MECHELLE HOWARD, NP accept Medicare?
MECHELLE HOWARD, NP appears in CMS Medicare data with 156 Part D claims and 26 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MECHELLE HOWARD, NP's credentials?
MECHELLE HOWARD, NP's NPI is 1811128531 with credentials NP. 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