2026 NPPES data Pediatric Registered Nurse NPI 1548562960 APRN
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SANDRA APPEL, APRN

Pediatric 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
14
Medicare Part D claims · Pediatric Registered Nurse avg: 748
Generic prescribing
21%
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)
What the federal data reveals: SANDRA APPEL, APRN is a Pediatric Registered Nurse ([object Object]) practicing in HOUSTON, Texas with a Medicare Part D prescribing footprint of 14 claims — 79% brand-name prescribing . Industry payments of $400.98 across 10 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SANDRA APPEL, APRN filed 14 Medicare Part D claims in 2023 across HOUSTON, Texas. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

SANDRA APPEL, APRN at a glance

Quality data not reported

NPI registry status

Active

Issued 11/18/2010

NPI 1548562960

Primary specialty

Pediatric Registered Nurse

Niche

2,899 US NPIs in this specialty

Medicare Part D claims

14 98% vs specialty avg

2023 prescription claims

Specialty avg: 748

Specialty distribution in Texas

How Pediatric Registered Nurse compares to other specialties among Texas providers

Texas providers

Pediatric Registered Nurse share within Texas

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

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Registered Nurse ABMS/AOA estimate

Est. board-certified rate (Pediatric Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Registered Nurse) — ABMS / AOA estimate

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 is a Pediatric Registered Nurse provider practicing in HOUSTON, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APRN. NPI: 1548562960. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what APPEL 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 14 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $12K in drug spend, split 79% brand-name and 21% generic by claim count. 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.

Pediatric Registered Nurse is a narrow specialty nationwide, with 2,899 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

1616 CLEAR LAKE CITY BLVD STE 102
HOUSTON, TX 77062

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%
Specialty average (est.)

79% brand-name claims vs 21% 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 / 21% 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.

2,899
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.

Compare Pediatric Registered Nurse nationally: see state-by-state distribution →

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 21% generic drugs by claim count, with $12K in brand drug costs.
How many Pediatric Registered Nurse providers are there in the US?
There are 2,899 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

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