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2026 NPPES data Adult Health Clinical Nurse Specialist NPI 1053490508 AHCNS
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Nancy Nickerson, AHCNS

Adult Health Clinical Nurse Specialist in Saint Louis, Missouri.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,376 in Adult Health Clinical Nurse Specialist, 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
243
Medicare Part D claims · 70 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.3/100
▼ 4 pts below national avg 83.5 · Above neutral
Industry payments
$255.3
2 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

Nancy Nickerson, AHCNS reported a CMS MIPS final score of 79.3/100 - below the 83.5 national average - and filed 243 Medicare Part D claims in 2024.

79.3/100
MIPS score · -4 vs avg
243
Part D claims, 2024
87%
generic prescribing
$255.3
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.

Federal trust snapshot

What official records show about Nancy Nickerson, AHCNS

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 1053490508), first enumerated 11/03/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 243 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 79.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $255.3 in reported industry payments (2 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 1053490508 · Adult Health Clinical Nurse Specialist

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1053490508
  • ENUM-LEGACY 2006
  • TAX-NARROW 1,376
  • MIPS-BELOW 79.3/100
  • RX-LIGHT 243
  • BOOK-THIN 40 in Missouri
  • PHOTO-FINISH Stefanie Manley · ±0.1

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

Nancy Nickerson, AHCNS'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.

79 ≥ 26th percentile 26% 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%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 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 Nancy Nickerson, AHCNS sits

This provider among adult health clinical nurse specialist peers

Across the 141 adult health clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Nancy Nickerson, AHCNS writes more Part D claims than 36% of them and scores higher on MIPS quality than 35% - 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: 38 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 58Nancy Nickerson, AHCNS, Part D claim volume, percentile in specialty: 36 · MIPS quality, percentile: 35
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult health clinical nurse specialist peer from a representative sample of 60; the gold marker is Nancy Nickerson, AHCNS. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Nancy Nickerson, AHCNS?

Near national average

NPI registry status

Active

Issued 11/03/2006

NPI 1053490508

Primary specialty

Adult Health Clinical Nurse Specialist

Niche

1,376 US NPIs in this specialty

Medicare Part D claims

243 80% vs specialty avg

2024 prescription claims

Specialty avg: 1,202

MIPS final score

79.3/100 4.2 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Missouri

How Adult Health Clinical Nurse Specialist compares to other specialties among Missouri providers

Missouri providers
Professional Counselor4.8%Pharmacist4.8%Clinical Social Worker4.5%Speech-Language Pathologist4.5%Family Nurse Practitioner4.3%Physical Therapist4%Adult Health Clinical Nurse …0%
Largest specialties in Missouri (% of in-state providers)

Medicare quality performance, MIPS

Nancy Nickerson, AHCNS's 2023 MIPS final score plotted against the Adult Health Clinical Nurse Specialist national average

Near national average
MIPS Final Score
79.3/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%79.3%
MIPS final score (Adult Health Clinical Nurse Specialist) - 79.3/100 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

4921 PARKVIEW PL
Saint Louis, MO 63110
(314) 362-7260

Provider Details

NPI 1053490508
Specialty Adult Health Clinical Nurse Specialist
Credentials AHCNS
Gender Female
NPI Issued 11/03/2006

CMS Quality Score (MIPS)

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

79.292
Final Score
Measured-score avg: 83.5
71.46
Quality
59.5132
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Nancy Nickerson, AHCNS 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.

Washington University
Saint Louis, MO

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 Nancy Nickerson, AHCNS. Source: openpaymentsdata.cms.gov.

Total received

$255

Largest payer

ATRICURE, 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.

Brand vs generic prescribing mix · Typical

Nancy Nickerson, AHCNS - brand share 13.0%
Adult Health Clinical Nurse Specialist average

13% brand-name claims vs 87% generic, on 243 2024 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 2024.

243
Total Claims
$24K
Total Drug Cost
70
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
357.933
Total Day Supply
9,665
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$21K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.81
Gender Split
39% female / 61% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Nancy Nickerson, AHCNS prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Metoprolol Succinate
 48
Amiodarone Hcl
 34
Furosemide
 23
Mupirocin
 22
Eliquis
Apixaban
20
Chlorhexidine Gluconate
 18
Spironolactone
 18

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

More Adult Health Clinical Nurse Specialist in MO → All providers in Missouri → Compare specialties →

Adult Health Clinical Nurse Specialist Overview

How Nancy Nickerson, AHCNS fits within the Adult Health Clinical Nurse Specialist landscape nationally.

1,376
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,202
Avg Claims per Provider

Nancy Nickerson, AHCNS's 243 claims are below the specialty average of 1,202.

Nationwide Adult Health Clinical Nurse Specialist peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (79.3 here).

Stefanie Manley 79.4 OK Yulia Lyuboslavsky 79.4 TX Marni Martinez 79.4 TX Ann Phillips 79.5 OH

Same NPPES enumeration year (2006)

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

Kathleen Ohanlon San Diego, CA Cynthia Owens-Manns Philadelphia, PA Ginger Howerton Plano, TX Anita Simmons Kensett, AR

Nearby Adult Health Clinical Nurse Specialist Providers in Missouri

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

One of 40 Adult Health Clinical Nurse Specialist providers enrolled in Missouri, 5 are shown here.

Catherine Ashbaugh
APRN
Columbia, MO
Laura Billings
A.H.C.N.S.
Columbia, MO
Judith Boland
RN, MSN, ACNS-BC
Marshall, MO
Dr. Janet Chance-Hetzler
DNP, MSN, RN, APRN
Sedalia, MO
Nadezhda Chernookaya
ACCNS-AG
Columbia, MO

Compare Adult Health Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Nancy Nickerson, AHCNS's specialty? ▼
Nancy Nickerson, AHCNS specializes in Adult Health Clinical Nurse Specialist and practices in Saint Louis, Missouri. Credentials: AHCNS.
How much does Nancy Nickerson, AHCNS prescribe under Medicare Part D? ▼
In 2024, Nancy Nickerson, AHCNS wrote 243 Medicare Part D claims totaling $24K in drug costs for 70 beneficiaries.
What is Nancy Nickerson, AHCNS's Medicare quality score? ▼
Nancy Nickerson, AHCNS has a CMS MIPS Final Score of 79.3/100 (Quality: 71.5, Cost: 59.5). 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 Nancy Nickerson, AHCNS located? ▼
Nancy Nickerson, AHCNS is located at 4921 PARKVIEW PL, Saint Louis, MO, 63110. Phone: (314) 362-7260.
What is Nancy Nickerson, AHCNS's NPI number? ▼
Nancy Nickerson, AHCNS's National Provider Identifier (NPI) is 1053490508, issued on 11/03/2006.
Does Nancy Nickerson, AHCNS prescribe more brand-name or generic drugs? ▼
Nancy Nickerson, AHCNS's prescribing is 13% brand-name and 87% generic drugs by claim count, with $21K in brand drug costs.
How many Adult Health Clinical Nurse Specialist providers are there in the US? ▼
There are 1,376 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,202 Medicare Part D claims per year.
What drugs does Nancy Nickerson, AHCNS prescribe most often? ▼
Based on 2024 Medicare Part D data, Nancy Nickerson, AHCNS's most frequently prescribed drugs include Metoprolol Succinate, Amiodarone Hcl, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nancy Nickerson, AHCNS accept Medicare? ▼
Nancy Nickerson, AHCNS appears in CMS Medicare data with 243 Part D claims and 70 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nancy Nickerson, AHCNS's credentials? ▼
Nancy Nickerson, AHCNS's NPI is 1053490508 with credentials AHCNS. 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.