2026 NPPES data Medical-Surgical Registered Nurse NPI 1346850369 FNP
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NICOLE SHEPPARD, FNP

Medical-Surgical Registered Nurse in HOUSTON, Texas. 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
129
Medicare Part D claims · 53 beneficiaries · Medical-Surgical Registered Nurse avg: 798
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.3897/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$391.61
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NICOLE SHEPPARD, FNP reported a CMS MIPS final score of 81.3897/100 — below the 83.1 national average — and filed 129 Medicare Part D claims in 2023.

81.3897/100
MIPS score · -2 vs avg
129
Part D claims, 2023
81%
generic prescribing
$391.61
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.

NICOLE SHEPPARD, FNP's MIPS score vs every scored U.S. clinician

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

81 36th percentile higher than 36% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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 NICOLE SHEPPARD, FNP?

Near national average

NPI registry status

Active

Issued 08/04/2020

NPI 1346850369

Primary specialty

Medical-Surgical Registered Nurse

Niche

3,523 US NPIs in this specialty

Medicare Part D claims

129 84% vs specialty avg

2023 prescription claims

Specialty avg: 798

MIPS final score

81.3897/100 1.7102999999999895% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Medical-Surgical Registered Nurse compares to other specialties among Texas providers

Texas providers

Medical-Surgical Registered Nurse share within Texas

1. Medical-Surgical Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical-Surgical Registered Nurse share within Texas

Medicare quality performance — MIPS

NICOLE SHEPPARD, FNP's 2023 MIPS final score plotted against the Medical-Surgical Registered Nurse national average

Near national average
MIPS Final Score
81.3897/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical-Surgical Registered Nurse) — 81.3897/100 vs national avg 83.1

0%100%National avg83%81.4%
MIPS final score (Medical-Surgical Registered Nurse) — 81.3897/100 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 SHEPPARD, FNP appears in the CMS NPPES registry as a Medical-Surgical Registered Nurse provider holding FNP credentials at 1515 HOLCOMBE BLVD, HOUSTON, TX, 77030, with a listed phone of (713) 792-6110. NPI 1346850369 was issued on 08/04/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHEPPARD 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 129 prescription claims written by this provider, covering 53 Medicare beneficiaries and totaling roughly $13K in drug spend, split 19% brand-name and 81% generic by claim count, with an opioid prescribing rate of 8.5%. 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 81.3897/100 for the 2023 performance year (Quality 81.2519, Cost 49.9786), compared with the national average of 83.1.

Medical-Surgical Registered Nurse is a narrow specialty nationwide, with 3,523 enrolled providers across 54 states and an average of 798 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

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Provider Details

NPI 1346850369
Specialty Medical-Surgical Registered Nurse
Credentials FNP
Gender Female
NPI Issued 08/04/2020

CMS Quality Score (MIPS)

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

81.3897
Final Score
Avg: 83.1
81.2519
Quality
49.9786
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICOLE SHEPPARD, FNP 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.

PHYSICIANS REFERRAL SERVICE
HOUSTON, TX

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 NICOLE SHEPPARD, FNP. Source: openpaymentsdata.cms.gov.

Total received

$392

Largest payer

Daiichi Sankyo 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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to NICOLE SHEPPARD, FNP. To verify NICOLE SHEPPARD, FNP's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

NICOLE SHEPPARD, FNP — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 129 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.

129
Total Claims
$13K
Total Drug Cost
53
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
152
Total Day Supply
2,860
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$11K
Generic Drug Cost
$2K
Opioid Claims
11 (8.5% rate)

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
2.53
Gender Split
23% female / 77% male

Top Prescribed Drugs (Medicare Part D)

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

What NICOLE SHEPPARD, FNP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ondansetron Hcl
21
Gabapentin
12
Eliquis
Apixaban
11
Levothyroxine Sodium
11
Lidocaine Hcl Viscous
Lidocaine Hcl
11
Tramadol Hcl
11

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

Medical-Surgical Registered Nurse Overview

How NICOLE SHEPPARD, FNP fits within the Medical-Surgical Registered Nurse landscape nationally.

3,523
Medical-Surgical Registered Nurse Providers in US
54
States with Medical-Surgical Registered Nurse
798
Avg Claims per Provider

NICOLE SHEPPARD, FNP's 129 claims are below the specialty average of 798.

Nearby Medical-Surgical Registered Nurse Providers in Texas

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

Compare Medical-Surgical Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLE SHEPPARD, FNP's specialty?
NICOLE SHEPPARD, FNP specializes in Medical-Surgical Registered Nurse and practices in HOUSTON, Texas. Credentials: FNP.
How much does NICOLE SHEPPARD, FNP prescribe under Medicare Part D?
In 2023, NICOLE SHEPPARD, FNP wrote 129 Medicare Part D claims totaling $13K in drug costs for 53 beneficiaries.
What is NICOLE SHEPPARD, FNP's Medicare quality score?
NICOLE SHEPPARD, FNP has a CMS MIPS Final Score of 81.3897/100 (Quality: 81.2519, Cost: 49.9786). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLE SHEPPARD, FNP located?
NICOLE SHEPPARD, FNP is located at 1515 HOLCOMBE BLVD, HOUSTON, TX, 77030. Phone: (713) 792-6110.
What is NICOLE SHEPPARD, FNP's NPI number?
NICOLE SHEPPARD, FNP's National Provider Identifier (NPI) is 1346850369, issued on 08/04/2020.
Does NICOLE SHEPPARD, FNP prescribe more brand-name or generic drugs?
NICOLE SHEPPARD, FNP's prescribing is 19% brand-name and 81% generic drugs by claim count, with $11K in brand drug costs.
Does NICOLE SHEPPARD, FNP prescribe opioids?
Yes, NICOLE SHEPPARD, FNP had 11 opioid claims in 2023 with an opioid prescribing rate of 8.5%.
How many Medical-Surgical Registered Nurse providers are there in the US?
There are 3,523 Medical-Surgical Registered Nurse providers across 54 states in the US. The average Medical-Surgical Registered Nurse provider writes 798 Medicare Part D claims per year.
What drugs does NICOLE SHEPPARD, FNP prescribe most often?
Based on 2023 Medicare Part D data, NICOLE SHEPPARD, FNP's most frequently prescribed drugs include Ondansetron Hcl, Gabapentin, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE SHEPPARD, FNP accept Medicare?
NICOLE SHEPPARD, FNP appears in CMS Medicare data with 129 Part D claims and 53 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE SHEPPARD, FNP's credentials?
NICOLE SHEPPARD, FNP's NPI is 1346850369 with credentials FNP. 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