NPI registry status
Active
2026 NPPES data Psychiatric/Mental Health Clinical Nurse Specialist NPI 1588720445 CNP
Verify on CMS → Karalee Labreche, CNP
Psychiatric/Mental Health Clinical Nurse Specialist in Minneapolis, Minnesota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 978 in Psychiatric/Mental Health Clinical Nurse Specialist, 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
1K
Medicare Part D claims · 86 beneficiaries · Psychiatric/Mental Health Clinical Nurse Specialist avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.4/100
▲ 8 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Karalee Labreche, CNP reported a CMS MIPS final score of 91.4/100 - above the 83.1 national average - and filed 1,069 Medicare Part D claims in 2023.
- 91.4/100
- MIPS score · +8 vs avg
- 1K
- Part D claims, 2023
- 96%
- 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.
Karalee Labreche, CNP'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 37% higher than 63% of 477,587 scored providers
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
Where Karalee Labreche, CNP sits
This provider among psychiatric/mental health clinical nurse specialist peers
Across the 30 psychiatric/mental health clinical nurse specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Karalee Labreche, CNP writes more Part D claims than 50% of them and scores higher on MIPS quality than 53% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one psychiatric/mental health clinical nurse specialist peer from a representative sample of 29; the gold marker is Karalee Labreche, CNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Karalee Labreche, CNP?
High performer (top quartile)Primary specialty
Psychiatric/Mental Health Clinical Nurse Specialist
Medicare Part D claims
1,069 2% vs specialty avg
MIPS final score
91.4/100 8.3 pts vs avg
Specialty distribution in Minnesota
How Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among Minnesota providers
Medicare quality performance, MIPS
Karalee Labreche, CNP's 2023 MIPS final score plotted against the Psychiatric/Mental Health Clinical Nurse Specialist national average
- MIPS Final Score
- 91.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Psychiatric/Mental Health Clinical Nurse Specialist) - 91.4/100 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).
Karalee Labreche, CNP appears in the CMS NPPES registry as a Psychiatric/Mental Health Clinical Nurse Specialist provider holding CNP credentials at 800 E 28TH ST, Minneapolis, MN, 55407, with a listed phone of (612) 863-5327. NPI 1588720445 was issued on 12/28/2006.
Medicare Part D records for calendar year 2023 show 1,069 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $112K in drug spend, split 4% brand-name and 96% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.4/100 for the 2023 performance year (Quality 78.8, Cost 62.8), compared with the national average of 83.1.
Psychiatric/Mental Health Clinical Nurse Specialist is a narrow specialty nationwide, with 978 enrolled providers across 50 states and an average of 1,050 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
Provider Details
| NPI | 1588720445 |
|---|---|
| Specialty | Psychiatric/Mental Health Clinical Nurse Specialist |
| Credentials | CNP |
| Gender | Female |
| NPI Issued | 12/28/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.4268
Final Score
Avg: 83.1
78.7821
Quality
62.8019
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Karalee Labreche, CNP 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.
Allina Health System
Minneapolis, MN
Hennepin Healthcare System Inc
Minneapolis, MN
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
Karalee Labreche, CNP - brand share 4.0%
Psychiatric/Mental Health Clinical Nurse Specialist average
4% brand-name claims vs 96% generic, on 1,069 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.
1,069
Total Claims
$112K
Total Drug Cost
86
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,312
- Total Day Supply
- 36,517
- Brand vs Generic
- 4% brand / 96% generic
- Brand Drug Cost
- $76K
- Generic Drug Cost
- $36K
Patient Demographics
- Average Patient Age
- 54.2 years
- Avg HCC Risk Score
- 1.40
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 58, 65-74: 23, 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 Karalee Labreche, CNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Duloxetine Hcl
Duloxetine Hcl
92 claims
- Clozapine
Clozapine
62 claims
- Trazodone Hcl
Trazodone Hcl
55 claims
- Risperidone
Risperidone
54 claims
- Aripiprazole
Aripiprazole
52 claims
- Lorazepam
Lorazepam
41 claims
- Olanzapine
Olanzapine
39 claims
- Venlafaxine Hcl Er
Venlafaxine Hcl Er
38 claims
| Drug | Claims |
|---|---|
| Duloxetine Hcl | 92 |
| Clozapine | 62 |
| Trazodone Hcl | 55 |
| Risperidone | 54 |
| Aripiprazole | 52 |
| Lorazepam | 41 |
| Olanzapine | 39 |
| Venlafaxine Hcl Er Venlafaxine Hcl | 38 |
| Fluoxetine Hcl | 36 |
| Divalproex Sodium Er Divalproex Sodium | 35 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Psychiatric/Mental Health Clinical Nurse Specialist in MN →
All providers in Minnesota →
Compare specialties →
Psychiatric/Mental Health Clinical Nurse Specialist Overview
How Karalee Labreche, CNP fits within the Psychiatric/Mental Health Clinical Nurse Specialist landscape nationally.
978
Psychiatric/Mental Health Clinical Nurse Specialist Providers in US
50
States with Psychiatric/Mental Health Clinical Nurse Specialist
1,050
Avg Claims per Provider
Karalee Labreche, CNP's 1,069 claims are above the specialty average of 1,050.
Nearby Psychiatric/Mental Health Clinical Nurse Specialist Providers in Minnesota
Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Labreche.
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 Minnesota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Psychiatric/Mental Health Clinical Nurse Specialist 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.
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Frequently Asked Questions
What is Karalee Labreche, CNP's specialty? ▼
Karalee Labreche, CNP specializes in Psychiatric/Mental Health Clinical Nurse Specialist and practices in Minneapolis, Minnesota. Credentials: CNP.
How much does Karalee Labreche, CNP prescribe under Medicare Part D? ▼
In 2023, Karalee Labreche, CNP wrote 1,069 Medicare Part D claims totaling $112K in drug costs for 86 beneficiaries.
What is Karalee Labreche, CNP's Medicare quality score? ▼
Karalee Labreche, CNP has a CMS MIPS Final Score of 91.4/100 (Quality: 78.8, Cost: 62.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karalee Labreche, CNP located? ▼
Karalee Labreche, CNP is located at 800 E 28TH ST, Minneapolis, MN, 55407. Phone: (612) 863-5327.
What is Karalee Labreche, CNP's NPI number? ▼
Karalee Labreche, CNP's National Provider Identifier (NPI) is 1588720445, issued on 12/28/2006.
Does Karalee Labreche, CNP prescribe more brand-name or generic drugs? ▼
Karalee Labreche, CNP's prescribing is 4% brand-name and 96% generic drugs by claim count, with $76K in brand drug costs.
How many Psychiatric/Mental Health Clinical Nurse Specialist providers are there in the US? ▼
There are 978 Psychiatric/Mental Health Clinical Nurse Specialist providers across 50 states in the US. The average Psychiatric/Mental Health Clinical Nurse Specialist provider writes 1,050 Medicare Part D claims per year.
What drugs does Karalee Labreche, CNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Karalee Labreche, CNP's most frequently prescribed drugs include Duloxetine Hcl, Clozapine, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karalee Labreche, CNP accept Medicare? ▼
Karalee Labreche, CNP appears in CMS Medicare data with 1,069 Part D claims and 86 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karalee Labreche, CNP's credentials? ▼
Karalee Labreche, CNP's NPI is 1588720445 with credentials CNP. 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.
- 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.
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.