2026 NPPES data Diabetes Educator Registered Nurse NPI 1265951651 APNP
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SUSAN CHEN, APNP

Diabetes Educator Registered Nurse in MILWAUKEE, Wisconsin. 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
2K
Medicare Part D claims · 100 beneficiaries · Diabetes Educator Registered Nurse avg: 1K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$307.49
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SUSAN CHEN, APNP is a Diabetes Educator Registered Nurse ([object Object]) practicing in MILWAUKEE, Wisconsin with a Medicare Part D prescribing footprint of 2K claims across 100 beneficiaries — 16% brand-name prescribing . Industry payments of $307.49 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SUSAN CHEN, APNP filed 2,416 Medicare Part D claims in 2023 across MILWAUKEE, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

SUSAN CHEN, APNP at a glance

Quality data not reported

NPI registry status

Active

Issued 09/17/2017

NPI 1265951651

Primary specialty

Diabetes Educator Registered Nurse

Niche

2,273 US NPIs in this specialty

Medicare Part D claims

2,416 86% vs specialty avg

2023 prescription claims

Specialty avg: 1,296

Specialty distribution in Wisconsin

How Diabetes Educator Registered Nurse compares to other specialties among Wisconsin providers

Wisconsin providers

Diabetes Educator Registered Nurse share within Wisconsin

1. Diabetes Educator Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Diabetes Educator Registered Nurse share within Wisconsin

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Diabetes Educator 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).

SUSAN CHEN, APNP is a Diabetes Educator Registered Nurse provider practicing in MILWAUKEE, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APNP. NPI: 1265951651. 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.

SUSAN CHEN, APNP appears in the CMS NPPES registry as a Diabetes Educator Registered Nurse provider holding APNP credentials at 210 W CAPITOL DR, MILWAUKEE, WI, 53212, with a listed phone of (414) 727-6320. NPI 1265951651 was issued on 09/17/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CHEN 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 2,416 prescription claims written by this provider, covering 100 Medicare beneficiaries and totaling roughly $299K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 1.0%. 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.

Diabetes Educator Registered Nurse is a narrow specialty nationwide, with 2,273 enrolled providers across 55 states and an average of 1,296 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

210 W CAPITOL DR
MILWAUKEE, WI 53212

Provider Details

NPI 1265951651
Specialty Diabetes Educator Registered Nurse
Credentials APNP
Gender Female
NPI Issued 09/17/2017

Hospital and facility affiliations

Facilities where SUSAN CHEN, APNP 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.

COMMUNITY HEALTH SYSTEMS INC
BELOIT, WI
OUTREACH COMMUNITY HEALTH CENTERS INC
MILWAUKEE, WI

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

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 SUSAN CHEN, APNP. Source: openpaymentsdata.cms.gov.

Total received

$307

Largest payer

Gilead Sciences, 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.

Brand vs generic prescribing mix · Typical

SUSAN CHEN, APNP — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 2,416 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.

2,416
Total Claims
$299K
Total Drug Cost
100
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,047
Total Day Supply
115,426
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$255K
Generic Drug Cost
$42K
Opioid Claims
25 (1.0% rate)
Antibiotic Claims
20

Patient Demographics

Average Patient Age
62.6 years
Avg HCC Risk Score
1.50
Gender Split
38% female / 62% male
Age Distribution
<65: 41, 65-74: 48, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
252
Pantoprazole Sodium
128
Albuterol Sulfate Hfa
Albuterol Sulfate
96
Amlodipine Besylate
96
Gabapentin
94
Metformin Hcl
90
Lisinopril
71
Hydrochlorothiazide
52
Meloxicam
51
Fluticasone Propionate
48

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

Diabetes Educator Registered Nurse Overview

How SUSAN CHEN, APNP fits within the Diabetes Educator Registered Nurse landscape nationally.

2,273
Diabetes Educator Registered Nurse Providers in US
55
States with Diabetes Educator Registered Nurse
1,296
Avg Claims per Provider

SUSAN CHEN, APNP's 2,416 claims are above the specialty average of 1,296.

Nearby Diabetes Educator Registered Nurse Providers in Wisconsin

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

Compare Diabetes Educator Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUSAN CHEN, APNP's specialty?
SUSAN CHEN, APNP specializes in Diabetes Educator Registered Nurse and practices in MILWAUKEE, Wisconsin. Credentials: APNP.
How much does SUSAN CHEN, APNP prescribe under Medicare Part D?
In 2023, SUSAN CHEN, APNP wrote 2,416 Medicare Part D claims totaling $299K in drug costs for 100 beneficiaries.
Where is SUSAN CHEN, APNP located?
SUSAN CHEN, APNP is located at 210 W CAPITOL DR, MILWAUKEE, WI, 53212. Phone: (414) 727-6320.
What is SUSAN CHEN, APNP's NPI number?
SUSAN CHEN, APNP's National Provider Identifier (NPI) is 1265951651, issued on 09/17/2017.
Does SUSAN CHEN, APNP prescribe more brand-name or generic drugs?
SUSAN CHEN, APNP's prescribing is 16% brand-name and 84% generic drugs by claim count, with $255K in brand drug costs.
Does SUSAN CHEN, APNP prescribe opioids?
Yes, SUSAN CHEN, APNP had 25 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Diabetes Educator Registered Nurse providers are there in the US?
There are 2,273 Diabetes Educator Registered Nurse providers across 55 states in the US. The average Diabetes Educator Registered Nurse provider writes 1,296 Medicare Part D claims per year.
What drugs does SUSAN CHEN, APNP prescribe most often?
Based on 2023 Medicare Part D data, SUSAN CHEN, APNP's most frequently prescribed drugs include Atorvastatin Calcium, Pantoprazole Sodium, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUSAN CHEN, APNP accept Medicare?
SUSAN CHEN, APNP appears in CMS Medicare data with 2,416 Part D claims and 100 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUSAN CHEN, APNP's credentials?
SUSAN CHEN, APNP's NPI is 1265951651 with credentials APNP. 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