2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1053480590 APRN
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Christine Karell, APRN

Psychiatric/Mental Health Nurse Practitioner in Alliance, Nebraska.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,776 in Psychiatric/Mental Health Nurse Practitioner, 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.
Prescribing volume
5K
Medicare Part D claims · 173 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$545.75
26 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Christine Karell, APRN filed 5,011 Medicare Part D claims in 2023 as a Psychiatric/Mental Health Nurse Practitioner in Alliance, Nebraska, prescribing 88% generic.

5K
Part D claims, 2023
88%
generic prescribing
$545.75
industry payments (Sunshine Act)
≥94th
pct by Part D claim volume (lower-bound band)

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.

CMS NPPES provider registry desk

NPI 1053480590 · Psychiatric/Mental Health Nurse Practitioner

NPI-10 · ENUM-LEGACY · TAX-MID · RX-MID · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1053480590
  • ENUM-LEGACY 2006
  • TAX-MID 41K Psychiatric/Mental Health
  • RX-MID 5,011
  • BOOK-THIN 264 in Nebraska
  • PHOTO-ENUM Beatrice Klusman · 2006

Christine Karell, APRN's Medicare Part D volume vs every U.S. prescriber

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

5,011 ≥ 94th percentile 94% of 1,370,886 prescribers are in lower value bands

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. 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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Christine Karell, APRN?

Quality data not reported

NPI registry status

Active

Issued 11/07/2006

NPI 1053480590

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

40,776 US NPIs in this specialty

Medicare Part D claims

5,011 vs specialty avg

2023 prescription claims

Specialty avg: 927

Specialty distribution in Nebraska

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

Nebraska providers
Personal Care Attendant13.7%Adult Companion7.6%Chore Provider6.1%Mental Health Counselor5.6%Home Health Aide4.9%Behavior Technician4.9%Psychiatric/Mental Health Nu…0.4%
Largest specialties in Nebraska (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Psychiatric/Mental Health Nurse Practitioner. Verify directly:

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).

Practice Address

815 FLACK AVE
Alliance, NE 69301

Provider Details

NPI 1053480590
Specialty Psychiatric/Mental Health Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 11/07/2006

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 Christine Karell, APRN. Source: openpaymentsdata.cms.gov.

Total received

$546

Largest payer

ITI, Inc. (d/b/a Intra-Cellular Therapies, 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

Christine Karell, APRN - brand share 12.0%
Psychiatric/Mental Health Nurse Practitioner average

12% brand-name claims vs 88% generic, on 5,011 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.

5,011
Total Claims
$1.1M
Total Drug Cost
173
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,479
Total Day Supply
154,620
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$929K
Generic Drug Cost
$194K

Patient Demographics

Average Patient Age
60.0 years
Avg HCC Risk Score
1.39
Gender Split
59% female / 41% male
Age Distribution
<65: 98, 65-74: 46, 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.

What Christine Karell, APRN 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
Quetiapine Fumarate
291
Lamotrigine
236
Aripiprazole
193
Clonazepam
181
Bupropion Xl
Bupropion Hcl
178
Trazodone Hcl
170
Gabapentin
163
Prazosin Hcl
163
Alprazolam
137
Lorazepam
136

* 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 Christine Karell, APRN fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.

40,776
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider

Christine Karell, APRN's 5,011 claims are above the specialty average of 927.

Nationwide Psychiatric/Mental Health Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Karell, both outside Nebraska so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Nebraska

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

One of 264 Psychiatric/Mental Health Nurse Practitioner providers enrolled in Nebraska, 5 are shown here.

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

Frequently Asked Questions

What is Christine Karell, APRN's specialty?
Christine Karell, APRN specializes in Psychiatric/Mental Health Nurse Practitioner and practices in Alliance, Nebraska. Credentials: APRN.
How much does Christine Karell, APRN prescribe under Medicare Part D?
In 2023, Christine Karell, APRN wrote 5,011 Medicare Part D claims totaling $1.1M in drug costs for 173 beneficiaries.
Where is Christine Karell, APRN located?
Christine Karell, APRN is located at 815 FLACK AVE, Alliance, NE, 69301. Phone: (308) 762-2723.
What is Christine Karell, APRN's NPI number?
Christine Karell, APRN's National Provider Identifier (NPI) is 1053480590, issued on 11/07/2006.
Does Christine Karell, APRN prescribe more brand-name or generic drugs?
Christine Karell, APRN's prescribing is 12% brand-name and 88% generic drugs by claim count, with $929K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US?
There are 40,776 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 Christine Karell, APRN prescribe most often?
Based on 2023 Medicare Part D data, Christine Karell, APRN's most frequently prescribed drugs include Quetiapine Fumarate, Lamotrigine, Aripiprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Christine Karell, APRN accept Medicare?
Christine Karell, APRN appears in CMS Medicare data with 5,011 Part D claims and 173 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Christine Karell, APRN's credentials?
Christine Karell, APRN's NPI is 1053480590 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

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.
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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.