NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1356490312 APRN
Verify on CMS → Nicole Fischler, APRN
Family Nurse Practitioner in Littleton, New Hampshire.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 209,817 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
1K
Medicare Part D claims · 147 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
83%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
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
Nicole Fischler, APRN filed 1,338 Medicare Part D claims in 2023 as a Family Nurse Practitioner in Littleton, New Hampshire, prescribing 83% generic.
- 1K
- Part D claims, 2023
- 83%
- generic prescribing
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.
Nicole Fischler, APRN's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,338 Top 21% higher than 79% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Nicole Fischler, APRN?
Quality data not reportedPrimary specialty
Family Nurse Practitioner
Medicare Part D claims
1,338 9% vs specialty avg
Specialty distribution in New Hampshire
How Family Nurse Practitioner compares to other specialties among New Hampshire providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Nurse Practitioner. Verify directly:
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).
Nicole Fischler, APRN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APRN credentials at 25 MOUNT EUSTIS RD, Littleton, NH, 03561, with a listed phone of (603) 444-2464. NPI 1356490312 was issued on 01/09/2007.
Medicare Part D records for calendar year 2023 show 1,338 prescription claims written by this provider, covering 147 Medicare beneficiaries and totaling roughly $178K in drug spend, split 15% brand-name and 83% generic by claim count, with an opioid prescribing rate of 2.0%.
Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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 | 1356490312 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 01/09/2007 |
Hospital and facility affiliations
Facilities where Nicole Fischler, APRN 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.
Ammonoosuc Community Health Services, Inc.
Littleton, NH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Nicole Fischler, APRN - brand share 15.0%
Family Nurse Practitioner average
15% brand-name claims vs 83% generic, on 1,338 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.
1,338
Total Claims
$178K
Total Drug Cost
147
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,932
- Total Day Supply
- 85,011
- Brand vs Generic
- 15% brand / 83% generic
- Brand Drug Cost
- $147K
- Generic Drug Cost
- $30K
- Opioid Claims
- 27 (2.0% rate)
- Antibiotic Claims
- 20
Patient Demographics
- Average Patient Age
- 70.9 years
- Avg HCC Risk Score
- 0.98
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 22, 65-74: 81, 75-84: 30, 85+: 14
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nicole Fischler, APRN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
103 claims
- Gabapentin
Gabapentin
90 claims
- Lisinopril
Lisinopril
69 claims
- Amlodipine Besylate
Amlodipine Besylate
47 claims
- Trelegy Ellipta 41
Trelegy Ellipta
41 claims
- Levothyroxine Sodium 35
Levothyroxine Sodium
35 claims
- Metformin Hcl 32
Metformin Hcl
32 claims
- Losartan Potassium 26
Losartan Potassium
26 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 103 |
| Gabapentin | 90 |
| Lisinopril | 69 |
| Amlodipine Besylate | 47 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 41 |
| Levothyroxine Sodium | 35 |
| Metformin Hcl | 32 |
| Losartan Potassium | 26 |
| Omeprazole | 26 |
| Eliquis Apixaban | 25 |
* 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 Nicole Fischler, APRN fits within the Family Nurse Practitioner landscape nationally.
209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider
Nicole Fischler, APRN's 1,338 claims are above the specialty average of 1,222.
Nearby Family Nurse Practitioner Providers in New Hampshire
Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as Fischler.
Elibel Abanilla
Derry, NH
Dr. Judith Abbe
APRN
Concord, NH
Dr. Cara Abbott
APRN
Lee, NH
Dr. McCall Abbott
APRN
Lebanon, NH
Dr. Janet Abreu
APRN
Pelham, NH
Compare Family 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 New Hampshire medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family 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 Nicole Fischler, APRN's specialty? ▼
Nicole Fischler, APRN specializes in Family Nurse Practitioner and practices in Littleton, New Hampshire. Credentials: APRN.
How much does Nicole Fischler, APRN prescribe under Medicare Part D? ▼
In 2023, Nicole Fischler, APRN wrote 1,338 Medicare Part D claims totaling $178K in drug costs for 147 beneficiaries.
Where is Nicole Fischler, APRN located? ▼
Nicole Fischler, APRN is located at 25 MOUNT EUSTIS RD, Littleton, NH, 03561. Phone: (603) 444-2464.
What is Nicole Fischler, APRN's NPI number? ▼
Nicole Fischler, APRN's National Provider Identifier (NPI) is 1356490312, issued on 01/09/2007.
Does Nicole Fischler, APRN prescribe more brand-name or generic drugs? ▼
Nicole Fischler, APRN's prescribing is 15% brand-name and 83% generic drugs by claim count, with $147K in brand drug costs.
Does Nicole Fischler, APRN prescribe opioids? ▼
Yes, Nicole Fischler, APRN had 27 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 209,817 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 Nicole Fischler, APRN prescribe most often? ▼
Based on 2023 Medicare Part D data, Nicole Fischler, APRN's most frequently prescribed drugs include Atorvastatin Calcium, Gabapentin, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nicole Fischler, APRN accept Medicare? ▼
Nicole Fischler, APRN appears in CMS Medicare data with 1,338 Part D claims and 147 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicole Fischler, APRN's credentials? ▼
Nicole Fischler, APRN's NPI is 1356490312 with credentials APRN. 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.
- 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.