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. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
70
Medicare Part D claims · 37 beneficiaries · Adult Health Clinical Nurse Specialist avg: 1K
MIPS score
79.292/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$255.3
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NANCY NICKERSON, AHCNS reported a CMS MIPS final score of 79.292/100 — below the 83.1 national average — and filed 70 Medicare Part D claims in 2023.

79.292/100
MIPS score · -4 vs avg
70
Part D claims, 2023
$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.

NANCY NICKERSON, AHCNS's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

79 30th percentile higher than 30% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 NANCY NICKERSON, AHCNS?

Near national average

NPI registry status

Active

Issued 11/03/2006

NPI 1053490508

Primary specialty

Adult Health Clinical Nurse Specialist

Niche

1,375 US NPIs in this specialty

Medicare Part D claims

70 94% vs specialty avg

2023 prescription claims

Specialty avg: 1,088

MIPS final score

79.292/100 3.8079999999999927% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

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

Missouri providers

Adult Health Clinical Nurse Specialist share within Missouri

1. Adult Health Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Clinical Nurse Specialist share within Missouri

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
79.292/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Clinical Nurse Specialist) — 79.292/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Adult Health Clinical Nurse Specialist) — 79.292/100 vs national avg 83.1

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).

NANCY NICKERSON, AHCNS appears in the CMS NPPES registry as a Adult Health Clinical Nurse Specialist provider holding AHCNS credentials at 4921 PARKVIEW PL, SAINT LOUIS, MO, 63110, with a listed phone of (314) 362-7260. NPI 1053490508 was issued on 11/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NICKERSON 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 70 prescription claims written by this provider, covering 37 Medicare beneficiaries and totaling roughly $10K 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 79.292/100 for the 2023 performance year (Quality 71.46, Cost 59.5132), compared with the national average of 83.1.

Adult Health Clinical Nurse Specialist is a narrow specialty nationwide, with 1,375 enrolled providers across 49 states and an average of 1,088 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

4921 PARKVIEW PL
SAINT LOUIS, MO 63110

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
Avg: 83.1
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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

70
Total Claims
$10K
Total Drug Cost
37
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
100
Total Day Supply
2,711
Generic Drug Cost
$738

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.90
Gender Split
57% female / 43% male

Adult Health Clinical Nurse Specialist Overview

How NANCY NICKERSON, AHCNS fits within the Adult Health Clinical Nurse Specialist landscape nationally.

1,375
Adult Health Clinical Nurse Specialist Providers in US
49
States with Adult Health Clinical Nurse Specialist
1,088
Avg Claims per Provider

NANCY NICKERSON, AHCNS's 70 claims are below the specialty average of 1,088.

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.

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 2023, NANCY NICKERSON, AHCNS wrote 70 Medicare Part D claims totaling $10K in drug costs for 37 beneficiaries.
What is NANCY NICKERSON, AHCNS's Medicare quality score?
NANCY NICKERSON, AHCNS has a CMS MIPS Final Score of 79.292/100 (Quality: 71.46, Cost: 59.5132). The national average MIPS Final Score is 83.1. 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.
How many Adult Health Clinical Nurse Specialist providers are there in the US?
There are 1,375 Adult Health Clinical Nurse Specialist providers across 49 states in the US. The average Adult Health Clinical Nurse Specialist provider writes 1,088 Medicare Part D claims per year.
Does NANCY NICKERSON, AHCNS accept Medicare?
NANCY NICKERSON, AHCNS appears in CMS Medicare data with 70 Part D claims and 37 Medicare beneficiaries in 2023. 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

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