NPI registry status
Active
2026 NPPES data Adult Health Nurse Practitioner NPI 1861804155 MSN, RN, APRN- BC
Verify on CMS → Paula Leferman, MSN, RN, APRN- BC
Adult Health Nurse Practitioner in Washington, Michigan.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,811 in Adult Health 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
7K
Medicare Part D claims · 564 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
84%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$144.02
4 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Paula Leferman, MSN, RN, APRN- BC carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 7,113 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 7K
- Part D claims, 2024
- 84%
- generic prescribing
- $144.02
- 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.
Federal trust snapshot
What official records show about Paula Leferman, MSN, RN, APRN- BC
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 1861804155), first enumerated 05/21/2014.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 7,113 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Industry payment transparency
$144.02 in reported industry payments (4 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Michigan statewide board action statistics are published annually — these figures describe aggregate state activity, not Paula Leferman, MSN, RN, APRN- BC's individual license status. Verify directly with the state medical board.
Source: MI-BOM 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 1861804155 · Adult Health Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MID · MIPS-NEUTRAL · RX-MID · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1861804155
- ENUM-MID 2014
- TAX-MID 30K Adult Health
- MIPS-NEUTRAL 75/100
- RX-MID 7,113
- BOOK-LIGHT 811 in Michigan
- PHOTO-ENUM Sherrie Beyer, APRN-BC · 2014
Paula Leferman, MSN, RN, APRN- BC's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
7,113 ≥ 96th percentile 96% 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 Paula Leferman, MSN, RN, APRN- BC?
CMS neutral score, not measuredPrimary specialty
Adult Health Nurse Practitioner
Medicare Part D claims
7,113 6× vs specialty avg
MIPS final score
75/100
Specialty distribution in Michigan
How Adult Health Nurse Practitioner compares to other specialties among Michigan providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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 | 1861804155 |
|---|---|
| Specialty | Adult Health Nurse Practitioner |
| Credentials | MSN, RN, APRN- BC |
| Gender | Female |
| NPI Issued | 05/21/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
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 Paula Leferman, MSN, RN, APRN- BC. Source: openpaymentsdata.cms.gov.
Total received
$144
Largest payer
ACADIA Pharmaceuticals 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 - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Paula Leferman, MSN, RN, APRN- BC. To verify Paula Leferman, MSN, RN, APRN- BC's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases
MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Paula Leferman, MSN, RN, APRN- BC - brand share 15.0%
Adult Health Nurse Practitioner average
15% brand-name claims vs 84% generic, on 7,113 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.
7,113
Total Claims
$418K
Total Drug Cost
564
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 7,284.533
- Total Day Supply
- 163,547
- Brand vs Generic
- 15% brand / 84% generic
- Brand Drug Cost
- $284K
- Generic Drug Cost
- $132K
- Opioid Claims
- 384 (5.4% rate)
- Antibiotic Claims
- 109
Patient Demographics
- Average Patient Age
- 79.5 years
- Avg HCC Risk Score
- 2.58
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 30, 65-74: 133, 75-84: 222, 85+: 179
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Paula Leferman, MSN, RN, APRN- BC prescribes most
Top Medicare Part D drugs by claim count, 2024
- Eliquis
Eliquis
417 claims
- Atorvastatin Calcium
Atorvastatin Calcium
355 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
234 claims
- Furosemide
Furosemide
232 claims
- Gabapentin
Gabapentin
228 claims
- Metoprolol Tartrate
Metoprolol Tartrate
220 claims
- Levothyroxine Sodium
Levothyroxine Sodium
206 claims
- Metoprolol Succinate
Metoprolol Succinate
182 claims
| Drug | Claims |
|---|---|
| Eliquis Apixaban | 417 |
| Atorvastatin Calcium | 355 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 234 |
| Furosemide | 232 |
| Gabapentin | 228 |
| Metoprolol Tartrate | 220 |
| Levothyroxine Sodium | 206 |
| Metoprolol Succinate | 182 |
| Lisinopril | 164 |
| Potassium Chloride | 164 |
* 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 Paula Leferman, MSN, RN, APRN- BC fits within the Adult Health Nurse Practitioner landscape nationally.
29,811
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,291
Avg Claims per Provider
Paula Leferman, MSN, RN, APRN- BC's 7,113 claims are above the specialty average of 1,291.
Nationwide Adult Health Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Leferman, both outside Michigan so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2014)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult Health Nurse Practitioner Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Leferman.
One of 811 Adult Health Nurse Practitioner providers enrolled in Michigan, 5 are shown here.
Joanne Abbas
Dearborn, MI
Nicole Abbgy
NP
Grand Rapids, MI
Ancy Abraham
NP-C
Lansing, MI
Sharnice Adams
NP
Saginaw, MI
Tina Adkins
Southgate, MI
Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Paula Leferman, MSN, RN, APRN- BC's specialty? ▼
Paula Leferman, MSN, RN, APRN- BC specializes in Adult Health Nurse Practitioner and practices in Washington, Michigan. Credentials: MSN, RN, APRN- BC.
How much does Paula Leferman, MSN, RN, APRN- BC prescribe under Medicare Part D? ▼
In 2024, Paula Leferman, MSN, RN, APRN- BC wrote 7,113 Medicare Part D claims totaling $418K in drug costs for 564 beneficiaries.
What is Paula Leferman, MSN, RN, APRN- BC's Medicare quality score? ▼
Paula Leferman, MSN, RN, APRN- BC has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Paula Leferman, MSN, RN, APRN- BC located? ▼
Paula Leferman, MSN, RN, APRN- BC is located at 58024 VAN DYKE RD, Washington, MI, 48094. Phone: (586) 781-5535.
What is Paula Leferman, MSN, RN, APRN- BC's NPI number? ▼
Paula Leferman, MSN, RN, APRN- BC's National Provider Identifier (NPI) is 1861804155, issued on 05/21/2014.
Does Paula Leferman, MSN, RN, APRN- BC prescribe more brand-name or generic drugs? ▼
Paula Leferman, MSN, RN, APRN- BC's prescribing is 15% brand-name and 84% generic drugs by claim count, with $284K in brand drug costs.
Does Paula Leferman, MSN, RN, APRN- BC prescribe opioids? ▼
Yes, Paula Leferman, MSN, RN, APRN- BC had 384 opioid claims in 2024 with an opioid prescribing rate of 5.4%.
How many Adult Health Nurse Practitioner providers are there in the US? ▼
There are 29,811 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,291 Medicare Part D claims per year.
What drugs does Paula Leferman, MSN, RN, APRN- BC prescribe most often? ▼
Based on 2024 Medicare Part D data, Paula Leferman, MSN, RN, APRN- BC's most frequently prescribed drugs include Eliquis, Atorvastatin Calcium, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paula Leferman, MSN, RN, APRN- BC accept Medicare? ▼
Paula Leferman, MSN, RN, APRN- BC appears in CMS Medicare data with 7,113 Part D claims and 564 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paula Leferman, MSN, RN, APRN- BC's credentials? ▼
Paula Leferman, MSN, RN, APRN- BC's NPI is 1861804155 with credentials MSN, RN, APRN- BC. 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.
- 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 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.