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2026 NPPES data Registered Nurse First Assistant NPI 1639255458 CFNP
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Michael Nelms, CFNP

Registered Nurse First Assistant in Flowood, Mississippi.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,714 in Registered Nurse First Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
27
Medicare Part D claims · 15 beneficiaries · Registered Nurse First Assistant avg: 369
MIPS score
88.6/100
▲ 5 pts above national avg 83.5 · Above neutral
Industry payments
$39.59
1 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Michael Nelms, CFNP reported a CMS MIPS final score of 88.6/100 - above the 83.5 national average - and filed 27 Medicare Part D claims in 2024.

88.6/100
MIPS score · +5 vs avg
27
Part D claims, 2024
$39.59
industry payments (Sunshine Act)
≥54th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Michael Nelms, CFNP

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1639255458), first enumerated 10/27/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 27 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 88.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Industry payment transparency

    $39.59 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1639255458 · Registered Nurse First Assistant

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ABOVE · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1639255458
  • ENUM-LEGACY 2006
  • TAX-NARROW 2,714
  • MIPS-ABOVE 88.6/100
  • RX-TRACE 27
  • BOOK-THIN 54 in Mississippi
  • PHOTO-FINISH Vicki Carrier · ±0.7

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Michael Nelms, CFNP's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

89 ≥ 54th percentile 54% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Michael Nelms, CFNP sits

This provider among registered nurse first assistant peers

Across the 70 registered nurse first assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Michael Nelms, CFNP writes more Part D claims than 6% of them and scores higher on MIPS quality than 37% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 23Michael Nelms, CFNP, Part D claim volume, percentile in specialty: 6 · MIPS quality, percentile: 37
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one registered nurse first assistant peer from a representative sample of 60; the gold marker is Michael Nelms, CFNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Michael Nelms, CFNP?

High performer (top quartile)

NPI registry status

Active

Issued 10/27/2006

NPI 1639255458

Primary specialty

Registered Nurse First Assistant

Niche

2,714 US NPIs in this specialty

Medicare Part D claims

27 93% vs specialty avg

2024 prescription claims

Specialty avg: 369

MIPS final score

88.6/100 5.1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Mississippi

How Registered Nurse First Assistant compares to other specialties among Mississippi providers

Mississippi providers
Family Nurse Practitioner8.7%Mental Health Counselor8%Pharmacist5.6%Student in an Organized Heal…5.1%Physical Therapist4.2%Speech-Language Pathologist3.7%Registered Nurse First Assis…0.1%
Largest specialties in Mississippi (% of in-state providers)

Medicare quality performance, MIPS

Michael Nelms, CFNP's 2023 MIPS final score plotted against the Registered Nurse First Assistant national average

High performer (top quartile)
MIPS Final Score
88.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%88.6%
MIPS final score (Registered Nurse First Assistant) - 88.6/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

104 BURNEY DR
Flowood, MS 39232
(601) 987-8200

Provider Details

NPI 1639255458
Specialty Registered Nurse First Assistant
Credentials CFNP
Gender Male
NPI Issued 10/27/2006

CMS Quality Score (MIPS)

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

88.5763
Final Score
Measured-score avg: 83.5
83.5932
Quality
92
Promoting Interoperability

Reporting: Group practice

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 Michael Nelms, CFNP. Source: openpaymentsdata.cms.gov.

Total received

$40

Largest payer

Kerecis Limited

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 2024.

27
Total Claims
$261
Total Drug Cost
15
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
44.133
Total Day Supply
1,102
Brand Drug Cost
$0
Generic Drug Cost
$261

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
0.97
More Registered Nurse First Assistant in MS → All providers in Mississippi → Compare specialties →

Registered Nurse First Assistant Overview

How Michael Nelms, CFNP fits within the Registered Nurse First Assistant landscape nationally.

2,714
Registered Nurse First Assistant Providers in US
50
States with Registered Nurse First Assistant
369
Avg Claims per Provider

Michael Nelms, CFNP's 27 claims are below the specialty average of 369.

Nationwide Registered Nurse First Assistant peers with similar MIPS or enrollment year

Two federal-record peer sets for Nelms, both outside Mississippi so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (88.6 here).

Vicki Carrier 89.3 PA Karen Lewandowski 89.4 MA Aurea Cordero 89.7 PA Jason Cox 89.8 AL

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Holly Kelly Pasco, WA Donna Gordon Portland, ME Louis Dellefave Taylor, TX Jill Binford Portland, ME

Nearby Registered Nurse First Assistant Providers in Mississippi

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

One of 54 Registered Nurse First Assistant providers enrolled in Mississippi, 5 are shown here.

Nancy Anklam
Jackson, MS
Joseph Barnett
RNFA
Summit, MS
William Bishop
Gulfport, MS
Wanda Bounds
RN, BSN, CNOR, RNFA
Jackson, MS
Melinda Bozeman
CRNFA
Meridian, MS

Compare Registered Nurse First Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is Michael Nelms, CFNP's specialty? ▼
Michael Nelms, CFNP specializes in Registered Nurse First Assistant and practices in Flowood, Mississippi. Credentials: CFNP.
How much does Michael Nelms, CFNP prescribe under Medicare Part D? ▼
In 2024, Michael Nelms, CFNP wrote 27 Medicare Part D claims totaling $261 in drug costs for 15 beneficiaries.
What is Michael Nelms, CFNP's Medicare quality score? ▼
Michael Nelms, CFNP has a CMS MIPS Final Score of 88.6/100 (Quality: 83.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michael Nelms, CFNP located? ▼
Michael Nelms, CFNP is located at 104 BURNEY DR, Flowood, MS, 39232. Phone: (601) 987-8200.
What is Michael Nelms, CFNP's NPI number? ▼
Michael Nelms, CFNP's National Provider Identifier (NPI) is 1639255458, issued on 10/27/2006.
How many Registered Nurse First Assistant providers are there in the US? ▼
There are 2,714 Registered Nurse First Assistant providers across 50 states in the US. The average Registered Nurse First Assistant provider writes 369 Medicare Part D claims per year.
Does Michael Nelms, CFNP accept Medicare? ▼
Michael Nelms, CFNP appears in CMS Medicare data with 27 Part D claims and 15 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Nelms, CFNP's credentials? ▼
Michael Nelms, CFNP's NPI is 1639255458 with credentials CFNP. 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.