NPI registry status
Active
2026 NPPES data Pediatric Registered Nurse NPI 1548562960 APRN
Verify on CMS → Sandra Appel, APRN
Pediatric Registered Nurse in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,908 in Pediatric Registered Nurse, 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
14
Medicare Part D claims · Pediatric Registered Nurse avg: 748
Generic prescribing
0%
generic claims · 79% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$400.98
10 payments · CMS Open Payments (Sunshine Act)
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
Sandra Appel, APRN filed 14 Medicare Part D claims in 2023 as a Pediatric Registered Nurse in Houston, Texas, prescribing 0% generic.
- 14
- Part D claims, 2023
- 0%
- generic prescribing
- $400.98
- 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.
Sandra Appel, APRN's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
14 0th percentile higher than 0% 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 Sandra Appel, APRN?
Quality data not reportedPrimary specialty
Pediatric Registered Nurse
Medicare Part D claims
14 98% vs specialty avg
Specialty distribution in Texas
How Pediatric Registered Nurse compares to other specialties among Texas 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 Pediatric Registered Nurse. 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).
Sandra Appel, APRN appears in the CMS NPPES registry as a Pediatric Registered Nurse provider holding APRN credentials at 1616 CLEAR LAKE CITY BLVD STE 102, Houston, TX, 77062, with a listed phone of (713) 493-1346. NPI 1548562960 was issued on 11/18/2010.
Medicare Part D records for calendar year 2023 show 14 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $12K in drug spend, split 79% brand-name and 0% generic by claim count.
Pediatric Registered Nurse is a narrow specialty nationwide, with 2,908 enrolled providers across 52 states and an average of 748 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 | 1548562960 |
|---|---|
| Specialty | Pediatric Registered Nurse |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 11/18/2010 |
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 Sandra Appel, APRN. Source: openpaymentsdata.cms.gov.
Total received
$401
Largest payer
Novo Nordisk 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 Sandra Appel, APRN. To verify Sandra Appel, APRN'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 · Brand-heavy
Sandra Appel, APRN - brand share 79.0%
Pediatric Registered Nurse average
79% brand-name claims vs 0% generic, on 14 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.
14
Total Claims
$12K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 15
- Total Day Supply
- 428
- Brand vs Generic
- 79% brand / 0% generic
- Brand Drug Cost
- $12K
Patient Demographics
- Average Patient Age
- 70.8 years
- Avg HCC Risk Score
- 0.54
Pediatric Registered Nurse Overview
How Sandra Appel, APRN fits within the Pediatric Registered Nurse landscape nationally.
2,908
Pediatric Registered Nurse Providers in US
52
States with Pediatric Registered Nurse
748
Avg Claims per Provider
Sandra Appel, APRN's 14 claims are below the specialty average of 748.
Nearby Pediatric Registered Nurse Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Appel.
Ahmed Abu Samake
Fort Worth, TX
Christianah Adejuyigbe
Richmond, TX
Dr. Amran Ahmed
RN
Arlington, TX
Evangeline Akuchie
Richmond, TX
Dr. Lauren Alexander
RN
Conroe, TX
Compare Pediatric Registered Nurse 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Registered Nurse 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Texas
Frequently Asked Questions
What is Sandra Appel, APRN's specialty? ▼
Sandra Appel, APRN specializes in Pediatric Registered Nurse and practices in Houston, Texas. Credentials: APRN.
How much does Sandra Appel, APRN prescribe under Medicare Part D? ▼
In 2023, Sandra Appel, APRN wrote 14 Medicare Part D claims totaling $12K in drug costs for N/A beneficiaries.
Where is Sandra Appel, APRN located? ▼
Sandra Appel, APRN is located at 1616 CLEAR LAKE CITY BLVD STE 102, Houston, TX, 77062. Phone: (713) 493-1346.
What is Sandra Appel, APRN's NPI number? ▼
Sandra Appel, APRN's National Provider Identifier (NPI) is 1548562960, issued on 11/18/2010.
Does Sandra Appel, APRN prescribe more brand-name or generic drugs? ▼
Sandra Appel, APRN's prescribing is 79% brand-name and 0% generic drugs by claim count, with $12K in brand drug costs.
How many Pediatric Registered Nurse providers are there in the US? ▼
There are 2,908 Pediatric Registered Nurse providers across 52 states in the US. The average Pediatric Registered Nurse provider writes 748 Medicare Part D claims per year.
Does Sandra Appel, APRN accept Medicare? ▼
Sandra Appel, APRN appears in CMS Medicare data with 14 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sandra Appel, APRN's credentials? ▼
Sandra Appel, APRN's NPI is 1548562960 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.
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 May 2026.