2026 NPPES data Nurse Practitioner NPI 1346643087 NURSE PRACTITIONER
Verify on CMS →

SHEILA CARLTON, NURSE PRACTITIONER

Nurse Practitioner in JACKSON, Tennessee. 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
20K
Medicare Part D claims · 371 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

SHEILA CARLTON, NURSE PRACTITIONER reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 20,168 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
20K
Part D claims, 2023
93%
generic prescribing

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.

SHEILA CARLTON, NURSE PRACTITIONER's MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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 SHEILA CARLTON, NURSE PRACTITIONER?

Below national average

NPI registry status

Active

Issued 10/08/2014

NPI 1346643087

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

20,168 1761% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Tennessee

How Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Nurse Practitioner share within Tennessee

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Tennessee

Medicare quality performance — MIPS

SHEILA CARLTON, NURSE PRACTITIONER's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Nurse Practitioner) — 75/100 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).

SHEILA CARLTON, NURSE PRACTITIONER appears in the CMS NPPES registry as a Nurse Practitioner provider holding NURSE PRACTITIONER credentials at 36 PEMBERTON CV, JACKSON, TN, 38305, with a listed phone of (731) 394-1145. NPI 1346643087 was issued on 10/08/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARLTON 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 20,168 prescription claims written by this provider, covering 371 Medicare beneficiaries and totaling roughly $483K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 2.6%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

36 PEMBERTON CV
JACKSON, TN 38305

Provider Details

NPI 1346643087
Specialty Nurse Practitioner
Credentials NURSE PRACTITIONER
Gender Female
NPI Issued 10/08/2014

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where SHEILA CARLTON, NURSE PRACTITIONER 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.

ULTRA HEALTH LLC
BELLS, TN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

SHEILA CARLTON, NURSE PRACTITIONER — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 20,168 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.

20,168
Total Claims
$483K
Total Drug Cost
371
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
20,522
Total Day Supply
235,862
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$302K
Generic Drug Cost
$178K
Opioid Claims
525 (2.6% rate)
Antibiotic Claims
234

Patient Demographics

Average Patient Age
79.9 years
Avg HCC Risk Score
2.49
Gender Split
70% female / 30% male
Age Distribution
<65: 32, 65-74: 82, 75-84: 112, 85+: 145

Top Prescribed Drugs (Medicare Part D)

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

What SHEILA CARLTON, NURSE PRACTITIONER 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
Furosemide
950
Amlodipine Besylate
889
Atorvastatin Calcium
716
Pantoprazole Sodium
648
Levothyroxine Sodium
605
Potassium Chloride
559
Donepezil Hcl
518
Buspirone Hcl
500
Gabapentin
484
Omeprazole
412

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

Nurse Practitioner Overview

How SHEILA CARLTON, NURSE PRACTITIONER fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

SHEILA CARLTON, NURSE PRACTITIONER's 20,168 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Tennessee

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

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHEILA CARLTON, NURSE PRACTITIONER's specialty?
SHEILA CARLTON, NURSE PRACTITIONER specializes in Nurse Practitioner and practices in JACKSON, Tennessee. Credentials: NURSE PRACTITIONER.
How much does SHEILA CARLTON, NURSE PRACTITIONER prescribe under Medicare Part D?
In 2023, SHEILA CARLTON, NURSE PRACTITIONER wrote 20,168 Medicare Part D claims totaling $483K in drug costs for 371 beneficiaries.
What is SHEILA CARLTON, NURSE PRACTITIONER's Medicare quality score?
SHEILA CARLTON, NURSE PRACTITIONER has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHEILA CARLTON, NURSE PRACTITIONER located?
SHEILA CARLTON, NURSE PRACTITIONER is located at 36 PEMBERTON CV, JACKSON, TN, 38305. Phone: (731) 394-1145.
What is SHEILA CARLTON, NURSE PRACTITIONER's NPI number?
SHEILA CARLTON, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1346643087, issued on 10/08/2014.
Does SHEILA CARLTON, NURSE PRACTITIONER prescribe more brand-name or generic drugs?
SHEILA CARLTON, NURSE PRACTITIONER's prescribing is 7% brand-name and 93% generic drugs by claim count, with $302K in brand drug costs.
Does SHEILA CARLTON, NURSE PRACTITIONER prescribe opioids?
Yes, SHEILA CARLTON, NURSE PRACTITIONER had 525 opioid claims in 2023 with an opioid prescribing rate of 2.6%.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does SHEILA CARLTON, NURSE PRACTITIONER prescribe most often?
Based on 2023 Medicare Part D data, SHEILA CARLTON, NURSE PRACTITIONER's most frequently prescribed drugs include Furosemide, Amlodipine Besylate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHEILA CARLTON, NURSE PRACTITIONER accept Medicare?
SHEILA CARLTON, NURSE PRACTITIONER appears in CMS Medicare data with 20,168 Part D claims and 371 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHEILA CARLTON, NURSE PRACTITIONER's credentials?
SHEILA CARLTON, NURSE PRACTITIONER's NPI is 1346643087 with credentials NURSE PRACTITIONER. 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