NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1326631714 FNP-C
Verify on CMS → Michelle Fleck, FNP-C
Family Nurse Practitioner in Goldsboro, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family 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
4K
Medicare Part D claims · 385 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
65.6/100
▼ 18 pts below national avg 83.5 · Mid-tier
Industry payments
$1.3K
46 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Michelle Fleck, FNP-C reported a CMS MIPS final score of 65.6/100 - below the 83.5 national average - and filed 3,836 Medicare Part D claims in 2023.
- 65.6/100
- MIPS score · -18 vs avg
- 4K
- Part D claims, 2023
- 96%
- generic prescribing
- $1.3K
- 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.
CMS NPPES provider registry desk
NPI 1326631714 · Family Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-LOW · RX-MID · BOOK-MID · PHOTO-FINISH
- NPI-10 1326631714
- ENUM-RECENT 2021
- TAX-MEGA 211K Family Nurse
- MIPS-LOW 65.6/100
- RX-MID 3,836
- BOOK-MID 5,858 in North Carolina
- PHOTO-FINISH Brandy Counts · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Fleck · this pro…
Fleck · this provider
65.6 MIPS pts
- Dana Stieglitz ·…
Dana Stieglitz
65.6 MIPS pts
- Brandy Counts · …
Brandy Counts
65.6 MIPS pts
- Pinky Castillo ·…
Pinky Castillo
65.6 MIPS pts
- Ashley Holton · …
Ashley Holton
65.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Michelle Fleck, FNP-C'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.
66 ≥ 7th percentile 7% of 454,083 measured providers are in lower value bands
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 Michelle Fleck, FNP-C sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Michelle Fleck, FNP-C writes more Part D claims than 92% of them and scores higher on MIPS quality than 6% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Michelle Fleck, FNP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Michelle Fleck, FNP-C?
Below national averagePrimary specialty
Family Nurse Practitioner
Medicare Part D claims
3,836 214% vs specialty avg
MIPS final score
65.6/100 17.9 pts vs avg
Specialty distribution in North Carolina
How Family Nurse Practitioner compares to other specialties among North Carolina providers
Medicare quality performance, MIPS
Michelle Fleck, FNP-C's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 65.6/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1326631714 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | FNP-C |
| Gender | Female |
| NPI Issued | 02/16/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
65.5891
Final Score
Measured-score avg: 83.5
47.3543
Quality
37.9427
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Michelle Fleck, FNP-C 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.
Proactive Therapy OF North Carolina Inc
Wilson, NC
Raleigh Neurosurgical Clinic Inc
Raleigh, NC
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 Michelle Fleck, FNP-C. Source: openpaymentsdata.cms.gov.
Total received
$1.3K
Largest payer
Abbott Laboratories
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.
Brand vs generic prescribing mix · Generic-heavy
Michelle Fleck, FNP-C - brand share 4.0%
Family Nurse Practitioner average
4% brand-name claims vs 96% generic, on 3,836 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.
3,836
Total Claims
$226K
Total Drug Cost
385
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,505
- Total Day Supply
- 129,188
- Brand vs Generic
- 4% brand / 96% generic
- Brand Drug Cost
- $115K
- Generic Drug Cost
- $111K
- Opioid Claims
- 1,840 (48.0% rate)
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 1.46
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 66, 65-74: 182, 75-84: 112, 85+: 25
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Michelle Fleck, FNP-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
652 claims
- Gabapentin
Gabapentin
595 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
317 claims
- Pregabalin
Pregabalin
292 claims
- Tramadol Hcl 255
Tramadol Hcl
255 claims
- Oxycodone Hcl 204
Oxycodone Hcl
204 claims
- Duloxetine Hcl 151
Duloxetine Hcl
151 claims
- Morphine Sulfate Er 146
Morphine Sulfate Er
146 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 652 |
| Gabapentin | 595 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 317 |
| Pregabalin | 292 |
| Tramadol Hcl | 255 |
| Oxycodone Hcl | 204 |
| Duloxetine Hcl | 151 |
| Morphine Sulfate Er Morphine Sulfate | 146 |
| Tizanidine Hcl | 137 |
| Cyclobenzaprine Hcl | 122 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Michelle Fleck, FNP-C fits within the Family Nurse Practitioner landscape nationally.
210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider
Michelle Fleck, FNP-C's 3,836 claims are above the specialty average of 1,222.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Fleck, both outside North Carolina so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (65.6 here).
Same NPPES enumeration year (2021)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Fleck.
One of 5,858 Family Nurse Practitioner providers enrolled in North Carolina, 5 are shown here.
Dr. Aloysius Abaya
FNP
Wilson, NC
Dr. Megan Abbott
FNP-C
Asheville, NC
Dr. Sude Abdulahi
NP
Wake Forest, NC
Dr. Gwen Abdulhafid
NP
Sylva, NC
Dr. Natalie Abernathy
FNP-C
Connelly Springs, NC
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Michelle Fleck, FNP-C's specialty? ▼
Michelle Fleck, FNP-C specializes in Family Nurse Practitioner and practices in Goldsboro, North Carolina. Credentials: FNP-C.
How much does Michelle Fleck, FNP-C prescribe under Medicare Part D? ▼
In 2023, Michelle Fleck, FNP-C wrote 3,836 Medicare Part D claims totaling $226K in drug costs for 385 beneficiaries.
What is Michelle Fleck, FNP-C's Medicare quality score? ▼
Michelle Fleck, FNP-C has a CMS MIPS Final Score of 65.6/100 (Quality: 47.4, Cost: 37.9). 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 Michelle Fleck, FNP-C located? ▼
Michelle Fleck, FNP-C is located at 2605 HOSPITAL RD, Goldsboro, NC, 27534. Phone: (919) 741-7502.
What is Michelle Fleck, FNP-C's NPI number? ▼
Michelle Fleck, FNP-C's National Provider Identifier (NPI) is 1326631714, issued on 02/16/2021.
Does Michelle Fleck, FNP-C prescribe more brand-name or generic drugs? ▼
Michelle Fleck, FNP-C's prescribing is 4% brand-name and 96% generic drugs by claim count, with $115K in brand drug costs.
Does Michelle Fleck, FNP-C prescribe opioids? ▼
Yes, Michelle Fleck, FNP-C had 1,840 opioid claims in 2023 with an opioid prescribing rate of 48.0%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 210,832 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Michelle Fleck, FNP-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Michelle Fleck, FNP-C's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michelle Fleck, FNP-C accept Medicare? ▼
Michelle Fleck, FNP-C appears in CMS Medicare data with 3,836 Part D claims and 385 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michelle Fleck, FNP-C's credentials? ▼
Michelle Fleck, FNP-C's NPI is 1326631714 with credentials FNP-C. 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
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 May 2026.