2026 NPPES data Child & Family Psychiatric/Mental Health Clinical Nurse Specialist NPI 1265154850 PMHNP
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MELISSA MURIEL, PMHNP

Child & Family Psychiatric/Mental Health Clinical Nurse Specialist in BRISTOL, 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
158
Medicare Part D claims · 26 beneficiaries · Child & Family Psychiatric/Mental Health Clinical Nurse Specialist avg: 2K
MIPS score
93.4432/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$27.67
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MELISSA MURIEL, PMHNP reported a CMS MIPS final score of 93.4432/100 — above the 83.1 national average — and filed 158 Medicare Part D claims in 2023.

93.4432/100
MIPS score · +10 vs avg
158
Part D claims, 2023
$27.67
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.

MELISSA MURIEL, PMHNP's MIPS score vs every scored U.S. clinician

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

93 Top 29% higher than 71% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 MELISSA MURIEL, PMHNP?

High performer (top quartile)

NPI registry status

Active

Issued 09/12/2022

NPI 1265154850

Primary specialty

Child & Family Psychiatric/Mental Health Clinical Nurse Specialist

Rare

51 US NPIs in this specialty

Medicare Part D claims

158 90% vs specialty avg

2023 prescription claims

Specialty avg: 1,550

MIPS final score

93.4432/100 10.34320000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Hampshire

How Child & Family Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among New Hampshire providers

New Hampshire providers

Child & Family Psychiatric/Mental Health Clinical Nurse Specialist share within New Hampshire

1. Child & Family Psychiatric/Mental Health Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist share within New Hampshire

Medicare quality performance — MIPS

MELISSA MURIEL, PMHNP's 2023 MIPS final score plotted against the Child & Family Psychiatric/Mental Health Clinical Nurse Specialist national average

High performer (top quartile)
MIPS Final Score
93.4432/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Child & Family Psychiatric/Mental Health Clinical Nurse Specialist) — 93.4432/100 vs national avg 83.1

0%100%National avg83%93.4%
MIPS final score (Child & Family Psychiatric/Mental Health Clinical Nurse Specialist) — 93.4432/100 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).

MELISSA MURIEL, PMHNP appears in the CMS NPPES registry as a Child & Family Psychiatric/Mental Health Clinical Nurse Specialist provider holding PMHNP credentials at 42 PINKER RD # 2, BRISTOL, NH, 03222, with a listed phone of (401) 316-1930. NPI 1265154850 was issued on 09/12/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MURIEL 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 158 prescription claims written by this provider, covering 26 Medicare beneficiaries and totaling roughly $4K 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 93.4432/100 for the 2023 performance year (Quality 83.0563, Cost 68.294), compared with the national average of 83.1.

Child & Family Psychiatric/Mental Health Clinical Nurse Specialist is a narrow specialty nationwide, with 51 enrolled providers across 26 states and an average of 1,550 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

42 PINKER RD # 2
BRISTOL, NH 03222

Provider Details

NPI 1265154850
Specialty Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Credentials PMHNP
Gender Female
NPI Issued 09/12/2022

CMS Quality Score (MIPS)

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

93.4432
Final Score
Avg: 83.1
83.0563
Quality
68.294
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where MELISSA MURIEL, PMHNP 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.

AFFINITY PHYSICIANS LLC.
WARWICK, RI
SUPPORTIVE CARE I OF RHODE ISLAND PC
PROVIDENCE, RI

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 MELISSA MURIEL, PMHNP. Source: openpaymentsdata.cms.gov.

Total received

$28

Largest payer

ACADIA Pharmaceuticals 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.

Medicare Part D Prescribing Data

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

158
Total Claims
$4K
Total Drug Cost
26
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
158
Total Day Supply
4,527
Brand Drug Cost
$0
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
82.0 years
Avg HCC Risk Score
1.83

Top Prescribed Drugs (Medicare Part D)

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

What MELISSA MURIEL, PMHNP 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
Trazodone Hcl
51
Quetiapine Fumarate
26
Escitalopram Oxalate
16
Memantine Hcl
14
Sertraline Hcl
11

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

Child & Family Psychiatric/Mental Health Clinical Nurse Specialist Overview

How MELISSA MURIEL, PMHNP fits within the Child & Family Psychiatric/Mental Health Clinical Nurse Specialist landscape nationally.

51
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist Providers in US
26
States with Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
1,550
Avg Claims per Provider

MELISSA MURIEL, PMHNP's 158 claims are below the specialty average of 1,550.

Frequently Asked Questions

What is MELISSA MURIEL, PMHNP's specialty?
MELISSA MURIEL, PMHNP specializes in Child & Family Psychiatric/Mental Health Clinical Nurse Specialist and practices in BRISTOL, New Hampshire. Credentials: PMHNP.
How much does MELISSA MURIEL, PMHNP prescribe under Medicare Part D?
In 2023, MELISSA MURIEL, PMHNP wrote 158 Medicare Part D claims totaling $4K in drug costs for 26 beneficiaries.
What is MELISSA MURIEL, PMHNP's Medicare quality score?
MELISSA MURIEL, PMHNP has a CMS MIPS Final Score of 93.4432/100 (Quality: 83.0563, Cost: 68.294). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MELISSA MURIEL, PMHNP located?
MELISSA MURIEL, PMHNP is located at 42 PINKER RD # 2, BRISTOL, NH, 03222. Phone: (401) 316-1930.
What is MELISSA MURIEL, PMHNP's NPI number?
MELISSA MURIEL, PMHNP's National Provider Identifier (NPI) is 1265154850, issued on 09/12/2022.
How many Child & Family Psychiatric/Mental Health Clinical Nurse Specialist providers are there in the US?
There are 51 Child & Family Psychiatric/Mental Health Clinical Nurse Specialist providers across 26 states in the US. The average Child & Family Psychiatric/Mental Health Clinical Nurse Specialist provider writes 1,550 Medicare Part D claims per year.
What drugs does MELISSA MURIEL, PMHNP prescribe most often?
Based on 2023 Medicare Part D data, MELISSA MURIEL, PMHNP's most frequently prescribed drugs include Trazodone Hcl, Quetiapine Fumarate, Escitalopram Oxalate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELISSA MURIEL, PMHNP accept Medicare?
MELISSA MURIEL, PMHNP appears in CMS Medicare data with 158 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 MELISSA MURIEL, PMHNP's credentials?
MELISSA MURIEL, PMHNP's NPI is 1265154850 with credentials PMHNP. 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