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2026 NPPES data Psychiatric/Mental Health Registered Nurse NPI 1295988533 NP
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Karen Douglas, NP

Psychiatric/Mental Health Registered Nurse in Detroit, Michigan.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,949 in Psychiatric/Mental Health Registered Nurse, 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 · 225 beneficiaries · Psychiatric/Mental Health Registered Nurse avg: 830
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.2/100
▲ 11 pts above national avg 83.5 · Exceptional
Industry payments
$649.95
33 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Karen Douglas, NP reported a CMS MIPS final score of 94.2/100 - above the 83.5 national average - and filed 4,996 Medicare Part D claims in 2024.

94.2/100
MIPS score · +11 vs avg
5K
Part D claims, 2024
90%
generic prescribing
$649.95
industry payments (Sunshine Act)

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.

Federal trust snapshot

What official records show about Karen Douglas, NP

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1295988533), first enumerated 10/30/2008.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 4,996 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 94.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $649.95 in reported industry payments (33 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Michigan statewide board action statistics are published annually — these figures describe aggregate state activity, not Karen Douglas, NP's individual license status. Verify directly with the state medical board.

    Source: MI-BOM annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1295988533 · Psychiatric/Mental Health Registered Nurse

NPI-10 · ENUM-MID · TAX-MID · MIPS-ELITE · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1295988533
  • ENUM-MID 2008
  • TAX-MID 12K Psychiatric/Mental Health
  • MIPS-ELITE 94.2/100
  • RX-MID 4,996
  • BOOK-THIN 479 in Michigan
  • PHOTO-FINISH Charleitte Phillips · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Karen Douglas, NP's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

94 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Karen Douglas, NP sits

This provider among psychiatric/mental health registered nurse peers

Across the 110 psychiatric/mental health registered nurse providers who report both Medicare Part D prescribing and a MIPS quality score, Karen Douglas, NP writes more Part D claims than 96% of them and scores higher on MIPS quality than 65% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 57Karen Douglas, NP, Part D claim volume, percentile in specialty: 96 · MIPS quality, percentile: 65
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one psychiatric/mental health registered nurse peer from a representative sample of 60; the gold marker is Karen Douglas, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Karen Douglas, NP?

High performer (top quartile)

NPI registry status

Active

Issued 10/30/2008

NPI 1295988533

Primary specialty

Psychiatric/Mental Health Registered Nurse

Mid-sized

11,949 US NPIs in this specialty

Medicare Part D claims

4,996 6× vs specialty avg

2024 prescription claims

Specialty avg: 830

MIPS final score

94.2/100 10.7 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Michigan

How Psychiatric/Mental Health Registered Nurse compares to other specialties among Michigan providers

Michigan providers
Behavior Technician22.2%Clinical Social Worker5.7%Student in an Organized Heal…3.7%Social Worker3.3%Physical Therapist3.3%Pharmacist2.9%Psychiatric/Mental Health Re…0.2%
Largest specialties in Michigan (% of in-state providers)

Medicare quality performance, MIPS

Karen Douglas, NP's 2023 MIPS final score plotted against the Psychiatric/Mental Health Registered Nurse national average

High performer (top quartile)
MIPS Final Score
94.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%94.2%
MIPS final score (Psychiatric/Mental Health Registered Nurse) - 94.2/100 vs national avg 83.5
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

24424 W MCNICHOLS RD
Detroit, MI 48219
(313) 531-2500

Provider Details

NPI 1295988533
Specialty Psychiatric/Mental Health Registered Nurse
Credentials NP
Gender Female
NPI Issued 10/30/2008

CMS Quality Score (MIPS)

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

94.1555
Final Score
Measured-score avg: 83.5
62.4823
Quality
100
Cost
96
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Karen Douglas, NP 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.

Development Centers Inc
Detroit, MI

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 Karen Douglas, NP. Source: openpaymentsdata.cms.gov.

Total received

$650

Largest payer

Alkermes, 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.

License & disciplinary context - Michigan MI-BOM 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 - they are NOT specific to Karen Douglas, NP. To verify Karen Douglas, NP's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Karen Douglas, NP - brand share 10.0%
Psychiatric/Mental Health Registered Nurse average

10% brand-name claims vs 90% generic, on 4,996 2024 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 2024.

4,996
Total Claims
$1.3M
Total Drug Cost
225
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,153.633
Total Day Supply
150,480
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$191K

Patient Demographics

Average Patient Age
57.6 years
Avg HCC Risk Score
1.79
Gender Split
58% female / 42% male
Age Distribution
<65: 148, 65-74: 66, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Karen Douglas, NP prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Benztropine Mesylate
 337
Quetiapine Fumarate
 329
Trazodone Hcl
 236
Sertraline Hcl
 213
Aripiprazole
 212
Risperidone
 192
Hydroxyzine Hcl
 189
Olanzapine
 155
Duloxetine Hcl
 145
Haloperidol Decanoate
 141

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

More Psychiatric/Mental Health Registered Nurse in MI → All providers in Michigan → Compare specialties →

Psychiatric/Mental Health Registered Nurse Overview

How Karen Douglas, NP fits within the Psychiatric/Mental Health Registered Nurse landscape nationally.

11,949
Psychiatric/Mental Health Registered Nurse Providers in US
54
States with Psychiatric/Mental Health Registered Nurse
830
Avg Claims per Provider

Karen Douglas, NP's 4,996 claims are above the specialty average of 830.

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

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (94.2 here).

Emily Kampas 94.1 CA Karen Senica 94.1 IL Charleitte Phillips 94.2 GA Renee Denobrega 94.3 NY

Same NPPES enumeration year (2008)

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

Danielle Akins Panama City, FL Andrea Quilty Boston, MA Esequiel Montes De Oca McKinney, TX Peggy Geno Corinth, MS

Nearby Psychiatric/Mental Health Registered Nurse Providers in Michigan

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

One of 479 Psychiatric/Mental Health Registered Nurse providers enrolled in Michigan, 5 are shown here.

Muhammad Abbasi
PMHNP-BC
Canton, MI
Kelly Abbott
RN
Harrison, MI
Brenda Adams
Farmington Hills, MI
Myriah Adams
Big Rapids, MI
Folasade Alagbada
MHA, MSN, BSN, RN
Canton, MI

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

Frequently Asked Questions

What is Karen Douglas, NP's specialty? ▼
Karen Douglas, NP specializes in Psychiatric/Mental Health Registered Nurse and practices in Detroit, Michigan. Credentials: NP.
How much does Karen Douglas, NP prescribe under Medicare Part D? ▼
In 2024, Karen Douglas, NP wrote 4,996 Medicare Part D claims totaling $1.3M in drug costs for 225 beneficiaries.
What is Karen Douglas, NP's Medicare quality score? ▼
Karen Douglas, NP has a CMS MIPS Final Score of 94.2/100 (Quality: 62.5, Cost: 100). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karen Douglas, NP located? ▼
Karen Douglas, NP is located at 24424 W MCNICHOLS RD, Detroit, MI, 48219. Phone: (313) 531-2500.
What is Karen Douglas, NP's NPI number? ▼
Karen Douglas, NP's National Provider Identifier (NPI) is 1295988533, issued on 10/30/2008.
Does Karen Douglas, NP prescribe more brand-name or generic drugs? ▼
Karen Douglas, NP's prescribing is 10% brand-name and 90% generic drugs by claim count, with $1.2M in brand drug costs.
How many Psychiatric/Mental Health Registered Nurse providers are there in the US? ▼
There are 11,949 Psychiatric/Mental Health Registered Nurse providers across 54 states in the US. The average Psychiatric/Mental Health Registered Nurse provider writes 830 Medicare Part D claims per year.
What drugs does Karen Douglas, NP prescribe most often? ▼
Based on 2024 Medicare Part D data, Karen Douglas, NP's most frequently prescribed drugs include Benztropine Mesylate, Quetiapine Fumarate, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karen Douglas, NP accept Medicare? ▼
Karen Douglas, NP appears in CMS Medicare data with 4,996 Part D claims and 225 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karen Douglas, NP's credentials? ▼
Karen Douglas, NP's NPI is 1295988533 with credentials NP. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

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 August 2026.