2026 NPPES data Adult Health Nurse Practitioner NPI 1366832172 APN
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NICOLE LACHMAN, APN

Adult Health Nurse Practitioner in MILFORD, Delaware. 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
60
Medicare Part D claims · 31 beneficiaries · Adult Health Nurse Practitioner avg: 1K
MIPS score
21.4017/100
▼ 62 pts below national avg 83.1 · [object Object]
What the federal data reveals: NICOLE LACHMAN, APN is a Adult Health Nurse Practitioner ([object Object]) practicing in MILFORD, Delaware with a Medicare Part D prescribing footprint of 60 claims across 31 beneficiaries . Their CMS MIPS Final Score of 21.4017/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: NICOLE LACHMAN, APN reported a CMS MIPS final score of 21.4017 out of 100, below the 83.1 national average, and filed 60 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

NICOLE LACHMAN, APN at a glance

Below national average

NPI registry status

Active

Issued 02/01/2015

NPI 1366832172

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

60 95% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

21.4017/100 61.69829999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in Delaware

How Adult Health Nurse Practitioner compares to other specialties among Delaware providers

Delaware providers

Adult Health Nurse Practitioner share within Delaware

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within Delaware

Medicare quality performance — MIPS

NICOLE LACHMAN, APN's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

Below national average
MIPS Final Score
21.4017/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 21.4017/100 vs national avg 83.1

0%100%National avg83%21.4%
MIPS final score (Adult Health Nurse Practitioner) — 21.4017/100 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).

NICOLE LACHMAN, APN is a Adult Health Nurse Practitioner provider practicing in MILFORD, Delaware, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APN. NPI: 1366832172. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

NICOLE LACHMAN, APN appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding APN credentials at 919 SE 2ND ST, MILFORD, DE, 19963, with a listed phone of (302) 363-5839. NPI 1366832172 was issued on 02/01/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LACHMAN 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 60 prescription claims written by this provider, covering 31 Medicare beneficiaries and totaling roughly $3K 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 21.4017/100 for the 2023 performance year (Quality 0, Cost 71.339), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

919 SE 2ND ST
MILFORD, DE 19963

Provider Details

NPI 1366832172
Specialty Adult Health Nurse Practitioner
Credentials APN
Gender Female
NPI Issued 02/01/2015

CMS Quality Score (MIPS)

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

21.4017
Final Score
Avg: 83.1
0
Quality
71.339
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where NICOLE LACHMAN, APN 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.

PRE-HOSPITAL INTERVENTIONS INC
SALISBURY, MD

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.

60
Total Claims
$3K
Total Drug Cost
31
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
60
Total Day Supply
737
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
77.4 years
Avg HCC Risk Score
2.51
Gender Split
45% female / 55% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Ketoconazole
15
Triamcinolone Acetonide
12

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

Adult Health Nurse Practitioner Overview

How NICOLE LACHMAN, APN fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

NICOLE LACHMAN, APN's 60 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Delaware

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

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

Frequently Asked Questions

What is NICOLE LACHMAN, APN's specialty?
NICOLE LACHMAN, APN specializes in Adult Health Nurse Practitioner and practices in MILFORD, Delaware. Credentials: APN.
How much does NICOLE LACHMAN, APN prescribe under Medicare Part D?
In 2023, NICOLE LACHMAN, APN wrote 60 Medicare Part D claims totaling $3K in drug costs for 31 beneficiaries.
What is NICOLE LACHMAN, APN's Medicare quality score?
NICOLE LACHMAN, APN has a CMS MIPS Final Score of 21.4017/100 (Quality: 0, Cost: 71.339). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLE LACHMAN, APN located?
NICOLE LACHMAN, APN is located at 919 SE 2ND ST, MILFORD, DE, 19963. Phone: (302) 363-5839.
What is NICOLE LACHMAN, APN's NPI number?
NICOLE LACHMAN, APN's National Provider Identifier (NPI) is 1366832172, issued on 02/01/2015.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does NICOLE LACHMAN, APN prescribe most often?
Based on 2023 Medicare Part D data, NICOLE LACHMAN, APN's most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE LACHMAN, APN accept Medicare?
NICOLE LACHMAN, APN appears in CMS Medicare data with 60 Part D claims and 31 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE LACHMAN, APN's credentials?
NICOLE LACHMAN, APN's NPI is 1366832172 with credentials APN. 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