NPI registry status
Active
2026 NPPES data Women's Health Nurse Practitioner NPI 1689648487 ANP
Verify on CMS → Michelle Carnes, ANP
Women's Health Nurse Practitioner in Portland, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,452 in Women's Health Nurse Practitioner, 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
100
Medicare Part D claims · 71 beneficiaries · Women's Health Nurse Practitioner avg: 262
MIPS score
81.5/100
▼ 2 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Michelle Carnes, ANP reported a CMS MIPS final score of 81.5/100 - below the 83.1 national average - and filed 100 Medicare Part D claims in 2023.
- 81.5/100
- MIPS score · -2 vs avg
- 100
- Part D claims, 2023
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.
Michelle Carnes, ANP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
82 36th percentile higher than 36% 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
Where Michelle Carnes, ANP sits
This provider among women's health nurse practitioner peers
Across the 802 women's health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Michelle Carnes, ANP writes more Part D claims than 51% of them and scores higher on MIPS quality than 36% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one women's health nurse practitioner peer from a representative sample of 60; the gold marker is Michelle Carnes, ANP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Michelle Carnes, ANP?
Near national averagePrimary specialty
Women's Health Nurse Practitioner
Medicare Part D claims
100 62% vs specialty avg
MIPS final score
81.5/100 1.6 pts vs avg
Specialty distribution in Maine
How Women's Health Nurse Practitioner compares to other specialties among Maine providers
Medicare quality performance, MIPS
Michelle Carnes, ANP's 2023 MIPS final score plotted against the Women's Health Nurse Practitioner national average
- MIPS Final Score
- 81.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Women's Health Nurse Practitioner) - 81.5/100 vs national avg 83.1
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).
Michelle Carnes, ANP appears in the CMS NPPES registry as a Women's Health Nurse Practitioner provider holding ANP credentials at 887 CONGRESS ST STE 400, Portland, ME, 04102, with a listed phone of (207) 774-6368. NPI 1689648487 was issued on 02/16/2006.
Medicare Part D records for calendar year 2023 show 100 prescription claims written by this provider, covering 71 Medicare beneficiaries and totaling roughly $633 in drug spend, with an opioid prescribing rate of 62.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.5/100 for the 2023 performance year, compared with the national average of 83.1.
Women's Health Nurse Practitioner is a mid-sized specialty nationwide, with 9,452 enrolled providers across 55 states and an average of 262 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 | 1689648487 |
|---|---|
| Specialty | Women's Health Nurse Practitioner |
| Credentials | ANP |
| Gender | Female |
| NPI Issued | 02/16/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.4923
Final Score
Avg: 83.1
38.3075
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Michelle Carnes, ANP 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.
Banner Cancer Center Specialists LLC
Gilbert, AZ
Mainehealth
Portland, ME
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
100
Total Claims
$633
Total Drug Cost
71
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 100
- Total Day Supply
- 515
- Brand Drug Cost
- $0
- Generic Drug Cost
- $633
- Opioid Claims
- 62 (62.0% rate)
- Antibiotic Claims
- 22
Patient Demographics
- Average Patient Age
- 74.9 years
- Avg HCC Risk Score
- 1.19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 58 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Women's Health Nurse Practitioner Overview
How Michelle Carnes, ANP fits within the Women's Health Nurse Practitioner landscape nationally.
9,452
Women's Health Nurse Practitioner Providers in US
55
States with Women's Health Nurse Practitioner
262
Avg Claims per Provider
Michelle Carnes, ANP's 100 claims are below the specialty average of 262.
Nearby Women's Health Nurse Practitioner Providers in Maine
Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as Carnes.
Dr. Linda Anderson
WHNP
Biddeford, ME
Dr. Alison Bates
NP
Portland, ME
Dr. Amber Berube
WHNP
Windham, ME
Dr. Lydia Bolduc-Marden
N.P.
Waterville, ME
Dr. Gianna Branco
WHNP
Lewiston, ME
Compare Women's Health Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Maine medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Women's Health Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Michelle Carnes, ANP's specialty? ▼
Michelle Carnes, ANP specializes in Women's Health Nurse Practitioner and practices in Portland, Maine. Credentials: ANP.
How much does Michelle Carnes, ANP prescribe under Medicare Part D? ▼
In 2023, Michelle Carnes, ANP wrote 100 Medicare Part D claims totaling $633 in drug costs for 71 beneficiaries.
What is Michelle Carnes, ANP's Medicare quality score? ▼
Michelle Carnes, ANP has a CMS MIPS Final Score of 81.5/100, Cost: 38.3. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michelle Carnes, ANP located? ▼
Michelle Carnes, ANP is located at 887 CONGRESS ST STE 400, Portland, ME, 04102. Phone: (207) 774-6368.
What is Michelle Carnes, ANP's NPI number? ▼
Michelle Carnes, ANP's National Provider Identifier (NPI) is 1689648487, issued on 02/16/2006.
Does Michelle Carnes, ANP prescribe opioids? ▼
Yes, Michelle Carnes, ANP had 62 opioid claims in 2023 with an opioid prescribing rate of 62.0%.
How many Women's Health Nurse Practitioner providers are there in the US? ▼
There are 9,452 Women's Health Nurse Practitioner providers across 55 states in the US. The average Women's Health Nurse Practitioner provider writes 262 Medicare Part D claims per year.
What drugs does Michelle Carnes, ANP prescribe most often? ▼
Based on 2023 Medicare Part D data, Michelle Carnes, ANP's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michelle Carnes, ANP accept Medicare? ▼
Michelle Carnes, ANP appears in CMS Medicare data with 100 Part D claims and 71 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michelle Carnes, ANP's credentials? ▼
Michelle Carnes, ANP's NPI is 1689648487 with credentials ANP. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.