2026 NPPES data Nurse Practitioner NPI 1609486703 APRN
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MELANIE DEL FRARI, APRN

Nurse Practitioner in LEBANON, New Hampshire. 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
1K
Medicare Part D claims · 232 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.7541/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$71.36
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MELANIE DEL FRARI, APRN is a Nurse Practitioner ([object Object]) practicing in LEBANON, New Hampshire with a Medicare Part D prescribing footprint of 1K claims across 232 beneficiaries — 3% brand-name prescribing . Their CMS MIPS Final Score of 89.7541/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $71.36 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MELANIE DEL FRARI, APRN reported a CMS MIPS final score of 89.7541 out of 100, above the 83.1 national average, and filed 1,094 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MELANIE DEL FRARI, APRN at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/04/2020

NPI 1609486703

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

1,094 1% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

89.7541/100 6.6541% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Hampshire

How Nurse Practitioner compares to other specialties among New Hampshire providers

New Hampshire providers

Nurse Practitioner share within New Hampshire

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within New Hampshire

Medicare quality performance — MIPS

MELANIE DEL FRARI, APRN's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
89.7541/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 89.7541/100 vs national avg 83.1

0%100%National avg83%89.8%
MIPS final score (Nurse Practitioner) — 89.7541/100 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).

MELANIE DEL FRARI, APRN is a Nurse Practitioner provider practicing in LEBANON, New Hampshire, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APRN. NPI: 1609486703. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MELANIE DEL FRARI, APRN appears in the CMS NPPES registry as a Nurse Practitioner provider holding APRN credentials at 1 MEDICAL CENTER DR, LEBANON, NH, 03756, with a listed phone of (603) 650-8309. NPI 1609486703 was issued on 08/04/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DEL FRARI 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 1,094 prescription claims written by this provider, covering 232 Medicare beneficiaries and totaling roughly $162K in drug spend, split 3% brand-name and 97% generic by claim count. 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 89.7541/100 for the 2023 performance year (Quality 81.3711), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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 1609486703
Specialty Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 08/04/2020

CMS Quality Score (MIPS)

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

89.7541
Final Score
Avg: 83.1
81.3711
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MELANIE DEL FRARI, APRN 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
GIFFORD MEDICAL CENTER INC
RANDOLPH, VT

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

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 MELANIE DEL FRARI, APRN. Source: openpaymentsdata.cms.gov.

Total received

$71

Largest payer

W. L. Gore & Associates, Inc.

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.

Brand vs generic prescribing mix · Generic-heavy

MELANIE DEL FRARI, APRN — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 1,094 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

1,094
Total Claims
$162K
Total Drug Cost
232
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,060
Total Day Supply
60,259
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$119K
Generic Drug Cost
$43K

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.39
Gender Split
44% female / 56% male
Age Distribution
<65: 13, 65-74: 90, 75-84: 111, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Carbidopa-Levodopa
Carbidopa/Levodopa
278
Gabapentin
104
Propranolol Hcl
78
Donepezil Hcl
73
Carbidopa-Levodopa Er
Carbidopa/Levodopa
70
Primidone
69
Buspirone Hcl
56
Sertraline Hcl
47
Baclofen
20
Amantadine
Amantadine Hcl
17

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

Nurse Practitioner Overview

How MELANIE DEL FRARI, APRN fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

MELANIE DEL FRARI, APRN's 1,094 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in New Hampshire

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

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

Frequently Asked Questions

What is MELANIE DEL FRARI, APRN's specialty?
MELANIE DEL FRARI, APRN specializes in Nurse Practitioner and practices in LEBANON, New Hampshire. Credentials: APRN.
How much does MELANIE DEL FRARI, APRN prescribe under Medicare Part D?
In 2023, MELANIE DEL FRARI, APRN wrote 1,094 Medicare Part D claims totaling $162K in drug costs for 232 beneficiaries.
What is MELANIE DEL FRARI, APRN's Medicare quality score?
MELANIE DEL FRARI, APRN has a CMS MIPS Final Score of 89.7541/100 (Quality: 81.3711). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MELANIE DEL FRARI, APRN located?
MELANIE DEL FRARI, APRN is located at 1 MEDICAL CENTER DR, LEBANON, NH, 03756. Phone: (603) 650-8309.
What is MELANIE DEL FRARI, APRN's NPI number?
MELANIE DEL FRARI, APRN's National Provider Identifier (NPI) is 1609486703, issued on 08/04/2020.
Does MELANIE DEL FRARI, APRN prescribe more brand-name or generic drugs?
MELANIE DEL FRARI, APRN's prescribing is 3% brand-name and 97% generic drugs by claim count, with $119K in brand drug costs.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does MELANIE DEL FRARI, APRN prescribe most often?
Based on 2023 Medicare Part D data, MELANIE DEL FRARI, APRN's most frequently prescribed drugs include Carbidopa-Levodopa, Gabapentin, Propranolol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELANIE DEL FRARI, APRN accept Medicare?
MELANIE DEL FRARI, APRN appears in CMS Medicare data with 1,094 Part D claims and 232 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELANIE DEL FRARI, APRN's credentials?
MELANIE DEL FRARI, APRN's NPI is 1609486703 with credentials APRN. 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