2026 NPPES data Adult Health Nurse Practitioner NPI 1104339779 CRNP
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MELANIE GILLMAN, CRNP

Adult Health Nurse Practitioner in HERSHEY, Pennsylvania. 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
362
Medicare Part D claims · 73 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
44%
generic claims · 56% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.5421/100
▼ 1 pts below national avg 83.1 · [object Object]

What the federal data shows

MELANIE GILLMAN, CRNP reported a CMS MIPS final score of 82.5421/100 — below the 83.1 national average — and filed 362 Medicare Part D claims in 2023.

82.5421/100
MIPS score · -1 vs avg
362
Part D claims, 2023
44%
generic prescribing

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.

MELANIE GILLMAN, CRNP's MIPS score vs every scored U.S. clinician

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

83 39th percentile higher than 39% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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 MELANIE GILLMAN, CRNP?

Near national average

NPI registry status

Active

Issued 11/06/2017

NPI 1104339779

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

362 70% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

82.5421/100 0.5578999999999894% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

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

Pennsylvania providers

Adult Health Nurse Practitioner share within Pennsylvania

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

Medicare quality performance — MIPS

MELANIE GILLMAN, CRNP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

Near national average
MIPS Final Score
82.5421/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 82.5421/100 vs national avg 83.1

0%100%National avg83%82.5%
MIPS final score (Adult Health Nurse Practitioner) — 82.5421/100 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 GILLMAN, CRNP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding CRNP credentials at 121 TOWNE SQUARE DR STE 303, HERSHEY, PA, 17033, with a listed phone of (717) 909-0290. NPI 1104339779 was issued on 11/06/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILLMAN 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 362 prescription claims written by this provider, covering 73 Medicare beneficiaries and totaling roughly $279K in drug spend, split 56% brand-name and 44% 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 82.5421/100 for the 2023 performance year (Quality 76.6258, Cost 65.1813), 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

121 TOWNE SQUARE DR STE 303
HERSHEY, PA 17033

Provider Details

NPI 1104339779
Specialty Adult Health Nurse Practitioner
Credentials CRNP
Gender Female
NPI Issued 11/06/2017

CMS Quality Score (MIPS)

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

82.5421
Final Score
Avg: 83.1
76.6258
Quality
65.1813
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MELANIE GILLMAN, CRNP 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.

PINNACLE HEALTH MEDICAL SERVICES
HARRISBURG, PA

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

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to MELANIE GILLMAN, CRNP. To verify MELANIE GILLMAN, CRNP's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

MELANIE GILLMAN, CRNP — brand share 56.0%
Specialty average (est.)

56% brand-name claims vs 44% generic, on 362 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.

362
Total Claims
$279K
Total Drug Cost
73
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
601
Total Day Supply
17,738
Brand vs Generic
56% brand / 44% generic
Brand Drug Cost
$276K

Patient Demographics

Average Patient Age
63.8 years
Avg HCC Risk Score
1.14
Gender Split
75% female / 25% male
Age Distribution
<65: 26, 65-74: 38, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What MELANIE GILLMAN, CRNP 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
Ozempic
Semaglutide
127
Metformin Hcl Er
Metformin Hcl
83
Trulicity
Dulaglutide
53
Naltrexone Hcl
26
Topiramate
21
Bupropion Xl
Bupropion Hcl
20

* 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 MELANIE GILLMAN, CRNP 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

MELANIE GILLMAN, CRNP's 362 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Pennsylvania

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

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

Frequently Asked Questions

What is MELANIE GILLMAN, CRNP's specialty?
MELANIE GILLMAN, CRNP specializes in Adult Health Nurse Practitioner and practices in HERSHEY, Pennsylvania. Credentials: CRNP.
How much does MELANIE GILLMAN, CRNP prescribe under Medicare Part D?
In 2023, MELANIE GILLMAN, CRNP wrote 362 Medicare Part D claims totaling $279K in drug costs for 73 beneficiaries.
What is MELANIE GILLMAN, CRNP's Medicare quality score?
MELANIE GILLMAN, CRNP has a CMS MIPS Final Score of 82.5421/100 (Quality: 76.6258, Cost: 65.1813). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MELANIE GILLMAN, CRNP located?
MELANIE GILLMAN, CRNP is located at 121 TOWNE SQUARE DR STE 303, HERSHEY, PA, 17033. Phone: (717) 909-0290.
What is MELANIE GILLMAN, CRNP's NPI number?
MELANIE GILLMAN, CRNP's National Provider Identifier (NPI) is 1104339779, issued on 11/06/2017.
Does MELANIE GILLMAN, CRNP prescribe more brand-name or generic drugs?
MELANIE GILLMAN, CRNP's prescribing is 56% brand-name and 44% generic drugs by claim count, with $276K in brand drug costs.
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 MELANIE GILLMAN, CRNP prescribe most often?
Based on 2023 Medicare Part D data, MELANIE GILLMAN, CRNP's most frequently prescribed drugs include Ozempic, Metformin Hcl Er, Trulicity. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELANIE GILLMAN, CRNP accept Medicare?
MELANIE GILLMAN, CRNP appears in CMS Medicare data with 362 Part D claims and 73 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELANIE GILLMAN, CRNP's credentials?
MELANIE GILLMAN, CRNP's NPI is 1104339779 with credentials CRNP. 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