2026 NPPES data Registered Nurse First Assistant NPI 1033684659 CNM, APRN
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Theresa Small, CNM, APRN

Registered Nurse First Assistant in Nashua, New Hampshire.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,649 in Registered Nurse First Assistant, 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.
MIPS score
90.9/100
▲ 8 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Theresa Small, CNM, APRN reported a CMS MIPS final score of 90.9/100 - above the 83.1 national average.

90.9/100
MIPS score · +8 vs avg

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.

Theresa Small, CNM, APRN's MIPS score vs every scored U.S. clinician

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

91 Top 40% higher than 60% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. 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 Theresa Small, CNM, APRN?

High performer (top quartile)

NPI registry status

Active

Issued 10/10/2018

NPI 1033684659

Primary specialty

Registered Nurse First Assistant

Niche

2,649 US NPIs in this specialty

MIPS final score

90.9/100 7.8 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in New Hampshire

How Registered Nurse First Assistant compares to other specialties among New Hampshire providers

New Hampshire providers
Mental Health Counselor - 6.6%Mental Health Counselor6.6%Physical Therapist - 5%Physical Therapist5%Clinical Social Worker - 4.4%Clinical Social Worker4.4%Pharmacist - 3.9%Pharmacist3.9%Case Manager/Care Coordinator - 3.8%Case Manager/Care Coordinator3.8%Occupational Therapist - 3.8%Occupational Therapist3.8%Registered Nurse First Assistant - 0%Registered Nurse First Assistant0%
Largest specialties in New Hampshire (% of in-state providers)

Medicare quality performance, MIPS

Theresa Small, CNM, APRN's 2023 MIPS final score plotted against the Registered Nurse First Assistant national average

High performer (top quartile)
MIPS Final Score
90.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Registered Nurse First Assistant) - 90.9/100 vs national avg 83.1

0%100%National avg83%90.9%
MIPS final score (Registered Nurse First Assistant) - 90.9/100 vs national avg 83.1
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).

Theresa Small, CNM, APRN appears in the CMS NPPES registry as a Registered Nurse First Assistant provider holding CNM, APRN credentials at 168 KINSLEY ST STE 19, Nashua, NH, 03060, with a listed phone of (603) 595-3951. NPI 1033684659 was issued on 10/10/2018.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal, many Registered Nurse First Assistant providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.9/100 for the 2023 performance year (Quality 74.1), compared with the national average of 83.1.

Registered Nurse First Assistant is a narrow specialty nationwide, with 2,649 enrolled providers across 50 states and an average of 419 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

168 KINSLEY ST STE 19
Nashua, NH 03060

Provider Details

NPI 1033684659
Specialty Registered Nurse First Assistant
Credentials CNM, APRN
Gender Female
NPI Issued 10/10/2018

CMS Quality Score (MIPS)

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

90.8564
Final Score
Avg: 83.1
74.1454
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Theresa Small, CNM, APRN 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.

St. Joseph Hospital OF Nashua NH
Nashua, NH

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

Registered Nurse First Assistant Overview

How Theresa Small, CNM, APRN fits within the Registered Nurse First Assistant landscape nationally.

2,649
Registered Nurse First Assistant Providers in US
50
States with Registered Nurse First Assistant
419
Avg Claims per Provider

Nearby Registered Nurse First Assistant Providers in New Hampshire

Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as Small.

Compare Registered Nurse First Assistant 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 New Hampshire medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Registered Nurse First Assistant 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.

Frequently Asked Questions

What is Theresa Small, CNM, APRN's specialty?
Theresa Small, CNM, APRN specializes in Registered Nurse First Assistant and practices in Nashua, New Hampshire. Credentials: CNM, APRN.
What is Theresa Small, CNM, APRN's Medicare quality score?
Theresa Small, CNM, APRN has a CMS MIPS Final Score of 90.9/100 (Quality: 74.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Theresa Small, CNM, APRN located?
Theresa Small, CNM, APRN is located at 168 KINSLEY ST STE 19, Nashua, NH, 03060. Phone: (603) 595-3951.
What is Theresa Small, CNM, APRN's NPI number?
Theresa Small, CNM, APRN's National Provider Identifier (NPI) is 1033684659, issued on 10/10/2018.
How many Registered Nurse First Assistant providers are there in the US?
There are 2,649 Registered Nurse First Assistant providers across 50 states in the US. The average Registered Nurse First Assistant provider writes 419 Medicare Part D claims per year.
Does Theresa Small, CNM, APRN accept Medicare?
Theresa Small, CNM, APRN appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theresa Small, CNM, APRN's credentials?
Theresa Small, CNM, APRN's NPI is 1033684659 with credentials CNM, 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.
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

Compiled from official public sources by the PlainDoctor editorial team.