NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1083193684 APRN
Verify on CMS → Nicole Machain, APRN
Family Nurse Practitioner in Pepperell, Massachusetts.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 216,959 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
2K
Medicare Part D claims · 370 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
86%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Nicole Machain, APRN filed 1,995 Medicare Part D claims in 2024 as a Family Nurse Practitioner in Pepperell, Massachusetts, prescribing 86% generic.
- 2K
- Part D claims, 2024
- 86%
- generic prescribing
- ≥83rd
- pct by Part D claim volume (lower-bound band)
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 Nicole Machain, APRN
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1083193684), first enumerated 08/14/2018.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,995 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Massachusetts statewide board action statistics are published annually — these figures describe aggregate state activity, not Nicole Machain, APRN's individual license status. Verify directly with the state medical board.
Source: BORIM annual report 2023
- 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 1083193684 · Family Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MEGA · RX-MID · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1083193684
- ENUM-RECENT 2018
- TAX-MEGA 217K Family Nurse
- RX-MID 1,995
- BOOK-LIGHT 4,241 in Massachusetts
- PHOTO-ENUM Jae Woo · 2018
Nicole Machain, APRN's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
1,995 ≥ 83rd percentile 83% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Nicole Machain, APRN?
Quality data not reportedPrimary specialty
Family Nurse Practitioner
Medicare Part D claims
1,995 53% vs specialty avg
Specialty distribution in Massachusetts
How Family Nurse Practitioner compares to other specialties among Massachusetts 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).
Practice Address
Provider Details
| NPI | 1083193684 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 08/14/2018 |
Hospital and facility affiliations
Facilities where Nicole Machain, 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.
Foundation Medical Partners Inc
Pepperell, MA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Massachusetts BORIM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 - they are NOT specific to Nicole Machain, APRN. To verify Nicole Machain, APRN's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases
BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Nicole Machain, APRN - brand share 13.0%
Family Nurse Practitioner average
13% brand-name claims vs 86% generic, on 1,995 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.
1,995
Total Claims
$167K
Total Drug Cost
370
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,213.933
- Total Day Supply
- 120,201
- Brand vs Generic
- 13% brand / 86% generic
- Brand Drug Cost
- $140K
- Generic Drug Cost
- $26K
- Opioid Claims
- 37 (1.9% rate)
- Antibiotic Claims
- 102
Patient Demographics
- Average Patient Age
- 72.9 years
- Avg HCC Risk Score
- 1.19
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 43, 65-74: 159, 75-84: 133, 85+: 35
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Nicole Machain, APRN prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
158 claims
- Lisinopril
Lisinopril
101 claims
- Amlodipine Besylate
Amlodipine Besylate
74 claims
- Levothyroxine Sodium
Levothyroxine Sodium
73 claims
- Metformin Hcl 52
Metformin Hcl
52 claims
- Gabapentin 49
Gabapentin
49 claims
- Rosuvastatin Calcium 46
Rosuvastatin Calcium
46 claims
- Albuterol Sulfate … 44
Albuterol Sulfate Hfa
44 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 158 |
| Lisinopril | 101 |
| Amlodipine Besylate | 74 |
| Levothyroxine Sodium | 73 |
| Metformin Hcl | 52 |
| Gabapentin | 49 |
| Rosuvastatin Calcium | 46 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 44 |
| Losartan Potassium | 44 |
| Omeprazole | 44 |
* 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 Machain, APRN fits within the Family Nurse Practitioner landscape nationally.
216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider
Nicole Machain, APRN's 1,995 claims are above the specialty average of 1,302.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Machain, both outside Massachusetts so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2018)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Massachusetts
Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as Machain.
One of 4,241 Family Nurse Practitioner providers enrolled in Massachusetts, 5 are shown here.
Christina Abate
N.P.
Boston, MA
Katelynne Abbott
NP
Danvers, MA
Georgette Abboud
FNP-C
Hanscom Afb, MA
Irfana Abdulhameed
FNP
Northborough, MA
Christine Abraham
NP
Southborough, MA
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Nicole Machain, APRN's specialty? ▼
Nicole Machain, APRN specializes in Family Nurse Practitioner and practices in Pepperell, Massachusetts. Credentials: APRN.
How much does Nicole Machain, APRN prescribe under Medicare Part D? ▼
In 2024, Nicole Machain, APRN wrote 1,995 Medicare Part D claims totaling $167K in drug costs for 370 beneficiaries.
Where is Nicole Machain, APRN located? ▼
Nicole Machain, APRN is located at 68 MAIN ST, Pepperell, MA, 01463. Phone: (978) 433-6317.
What is Nicole Machain, APRN's NPI number? ▼
Nicole Machain, APRN's National Provider Identifier (NPI) is 1083193684, issued on 08/14/2018.
Does Nicole Machain, APRN prescribe more brand-name or generic drugs? ▼
Nicole Machain, APRN's prescribing is 13% brand-name and 86% generic drugs by claim count, with $140K in brand drug costs.
Does Nicole Machain, APRN prescribe opioids? ▼
Yes, Nicole Machain, APRN had 37 opioid claims in 2024 with an opioid prescribing rate of 1.9%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Nicole Machain, APRN prescribe most often? ▼
Based on 2024 Medicare Part D data, Nicole Machain, APRN's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nicole Machain, APRN accept Medicare? ▼
Nicole Machain, APRN appears in CMS Medicare data with 1,995 Part D claims and 370 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicole Machain, APRN's credentials? ▼
Nicole Machain, APRN's NPI is 1083193684 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 (2024). 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 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
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.