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.
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
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)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New Hampshire
How Child & Family Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among New Hampshire providers
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist share within New Hampshire
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist is one of the more visible NUCC categories in New Hampshire
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
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
- 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
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Child & Family Psychiatric/Mental Health Clinical Nurse Specialist US NPIs
93.4432/100 MIPS final score — 10.3 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Child & Family Psychiatric/Mental Health Clinical Nurse Specialist. Quality dim: 83.0563. Cost dim: 68.294.
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
Provider Details
| NPI | 1265154850 |
|---|---|
| Specialty | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist |
| Credentials | PMHNP |
| Gender | Female |
| NPI Issued | 09/12/2022 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm MELISSA MURIEL, PMHNP's current license status, disciplinary history, and board certifications with the New Hampshire Board of Medicine in New Hampshire before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
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.
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.
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
- Trazodone Hcl
Trazodone Hcl
51 claims
- Quetiapine Fumarate
Quetiapine Fumarate
26 claims
- Escitalopram Oxalate 16
Escitalopram Oxalate
16 claims
- Memantine Hcl 14
Memantine Hcl
14 claims
- Sertraline Hcl 11
Sertraline Hcl
11 claims
| 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.
MELISSA MURIEL, PMHNP's 158 claims are below the specialty average of 1,550.
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Frequently Asked Questions
What is MELISSA MURIEL, PMHNP's specialty? ▼
How much does MELISSA MURIEL, PMHNP prescribe under Medicare Part D? ▼
What is MELISSA MURIEL, PMHNP's Medicare quality score? ▼
Where is MELISSA MURIEL, PMHNP located? ▼
What is MELISSA MURIEL, PMHNP's NPI number? ▼
How many Child & Family Psychiatric/Mental Health Clinical Nurse Specialist providers are there in the US? ▼
What drugs does MELISSA MURIEL, PMHNP prescribe most often? ▼
Does MELISSA MURIEL, PMHNP accept Medicare? ▼
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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