2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1316926553 MSN, APN
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SUE ST CLAIR, MSN, APN

Psychiatric/Mental Health Nurse Practitioner in MADISON, 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
195
Medicare Part D claims · 40 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

SUE ST CLAIR, MSN, APN filed 195 Medicare Part D claims in 2023 as a Psychiatric/Mental Health Nurse Practitioner in MADISON, Tennessee, prescribing 93% generic.

195
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.

SUE ST CLAIR, MSN, APN's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

195 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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 SUE ST CLAIR, MSN, APN?

Quality data not reported

NPI registry status

Active

Issued 01/16/2006

NPI 1316926553

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

39,953 US NPIs in this specialty

Medicare Part D claims

195 79% vs specialty avg

2023 prescription claims

Specialty avg: 927

Specialty distribution in Tennessee

How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Psychiatric/Mental Health Nurse Practitioner share within Tennessee

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

Specialty board-certification context

Estimated specialty board-certified rate — Psychiatric/Mental Health Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Psychiatric/Mental Health Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Psychiatric/Mental Health Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Psychiatric/Mental Health Nurse Practitioner) — 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).

SUE ST CLAIR, MSN, APN appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider holding MSN, APN credentials at 620 GALLATIN PIKE S, MADISON, TN, 37115, with a listed phone of (615) 460-4300. NPI 1316926553 was issued on 01/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ST CLAIR 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 195 prescription claims written by this provider, covering 40 Medicare beneficiaries and totaling roughly $47K in drug spend, split 7% brand-name and 93% 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.

Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 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

620 GALLATIN PIKE S
MADISON, TN 37115

Provider Details

NPI 1316926553
Specialty Psychiatric/Mental Health Nurse Practitioner
Credentials MSN, APN
Gender Female
NPI Issued 01/16/2006

Brand vs generic prescribing mix · Generic-heavy

SUE ST CLAIR, MSN, APN — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 195 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.

195
Total Claims
$47K
Total Drug Cost
40
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
213
Total Day Supply
6,204
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$36K
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
52.6 years
Avg HCC Risk Score
1.70
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

What SUE ST CLAIR, MSN, APN 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
Clonidine Hcl
15
Duloxetine Hcl
15
Aripiprazole
14
Trazodone Hcl
14
Sertraline Hcl
13
Buspirone Hcl
11

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

Psychiatric/Mental Health Nurse Practitioner Overview

How SUE ST CLAIR, MSN, APN fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.

39,953
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider

SUE ST CLAIR, MSN, APN's 195 claims are below the specialty average of 927.

Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Tennessee

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

Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUE ST CLAIR, MSN, APN's specialty?
SUE ST CLAIR, MSN, APN specializes in Psychiatric/Mental Health Nurse Practitioner and practices in MADISON, Tennessee. Credentials: MSN, APN.
How much does SUE ST CLAIR, MSN, APN prescribe under Medicare Part D?
In 2023, SUE ST CLAIR, MSN, APN wrote 195 Medicare Part D claims totaling $47K in drug costs for 40 beneficiaries.
Where is SUE ST CLAIR, MSN, APN located?
SUE ST CLAIR, MSN, APN is located at 620 GALLATIN PIKE S, MADISON, TN, 37115. Phone: (615) 460-4300.
What is SUE ST CLAIR, MSN, APN's NPI number?
SUE ST CLAIR, MSN, APN's National Provider Identifier (NPI) is 1316926553, issued on 01/16/2006.
Does SUE ST CLAIR, MSN, APN prescribe more brand-name or generic drugs?
SUE ST CLAIR, MSN, APN's prescribing is 7% brand-name and 93% generic drugs by claim count, with $36K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US?
There are 39,953 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does SUE ST CLAIR, MSN, APN prescribe most often?
Based on 2023 Medicare Part D data, SUE ST CLAIR, MSN, APN's most frequently prescribed drugs include Clonidine Hcl, Duloxetine Hcl, Aripiprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUE ST CLAIR, MSN, APN accept Medicare?
SUE ST CLAIR, MSN, APN appears in CMS Medicare data with 195 Part D claims and 40 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUE ST CLAIR, MSN, APN's credentials?
SUE ST CLAIR, MSN, APN's NPI is 1316926553 with credentials MSN, APN. 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