NPPES file of Aug 9, 2026

Karen M. Fischer, ACNS-BC

Adult Health Nurse Practitioner · St Joseph, MO

Karen M. Fischer, ACNS-BC is an adult health nurse practitioner with a practice address in St Joseph, Missouri, and NPI 1295047504, issued on Jul 2, 2010. Check the license (Missouri 095059, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1295047504
Name
Karen M. Fischer
Credential
ACNS-BC
Primary taxonomy
Adult Health Nurse Practitioner 363LA2200X
License number
095059 MO
Self-reported in NPPES; status is on the state search
Practice location
5514 Corporate Dr., St Joseph, MO 64507
Phone
(816) 271-1221
Enumerated
Jul 2, 2010
Record last updated
Nov 21, 2017 (not updated in 9 years: call before relying on the address or phone)
Fax
(816) 279-7794
Medicaid IDs
1295047504 MO
200671020A KS
Medicare enrollment
Enrolled (PECOS I20100909000444); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Karen M. Fischer in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license 095059
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

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6.8 times the Medicare Part D claims of the average adult health nurse practitioner in 2024

8,696 Medicare Part D claims for 1,533 beneficiaries, against an average of 1,280 among the 16,937 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.

  1. Karen Fischer8,696
  2. Specialty average1,280

Most prescribed

  1. Rosuvastatin Calcium720 claims
  2. Carvedilol545 claims
  3. Metoprolol Succinate514 claims
  4. Atorvastatin Calcium512 claims
  5. Lisinopril459 claims
  6. Torsemide431 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 76.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score66.5
  2. Costout of 100 · 30%56.5
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $647.25

38 payments; by number, the most common kind was food and beverage; the largest payer was Boehringer Ingelheim Pharmaceuticals, Inc. The 12,291 providers of this specialty with any payment received $946.40 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Karen Fischer$647.25
  2. Specialty average$946.40

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

3 hospitals and group practices

  1. Heartland Regional Medical CenterMaryville, MO
  2. Mosaic Medical Center - MaryvilleMaryville, MO · Critical Access Hospitals
  3. Ssm Regional Health ServicesMaryville, MO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).

Karen M. Fischer among 794 adult health nurse practitioner records in Missouri

Karen M. Fischer, ACNS-BC is one of 794 adult health nurse practitioner records with a practice address in Missouri. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 37% of them.

  • NPI issued2010 · 37% of these records are older, 59% newer
  • In a Medicare fileYes · 68% of these records are
  • In the CMS Doctors and Clinicians fileYes · 50% of these records are
  • Graduated1993 · median 2013 among the 399 with a school on file
  • Record last updated2017 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2200X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1 adult health nurse practitioner record lists a practice address in St Joseph

They are 1 of the 98 NPPES records with a practice address in St Joseph, and 794 adult health nurse practitioner records in Missouri.

The 8 adult health nurse practitioner records with the nearest ZIP codes

  1. Breanna ShanksSaint Joseph, MO 645071861248395
  2. Carol MullicanSaint Joseph, MO 645031497966931
  3. Richard Campbell, ANPCameron, MO 644291053414219
  4. Kathy Martin, M.S.Joplin, MO 648011063403418
  5. Deborah Capshaw, DNP, ACNP-BCJoplin, MO 648041295186203
  6. Kelly Derganc, ARNPJoplin, MO 648041881900058
  7. Gretchen Barone, NPCarthage, MO 648361225380579
  8. Rita Mangold, RNKansas City, MO 641541225378805

Common questions

What is Karen M. Fischer, ACNS-BC's NPI number?

Karen M. Fischer, ACNS-BC's National Provider Identifier (NPI) is 1295047504, issued on Jul 2, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Karen M. Fischer, ACNS-BC located?

The NPPES record lists a practice address at 5514 Corporate Dr., St Joseph, MO, 64507. Phone: (816) 271-1221. Providers update this record themselves, so call before visiting.

How can I verify Karen M. Fischer, ACNS-BC's license?

NPPES lists Missouri license number 095059, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

How much does Karen M. Fischer, ACNS-BC prescribe under Medicare Part D?

In 2024, Karen M. Fischer, ACNS-BC had 8,696 Medicare Part D claims for 1,533 beneficiaries; the average among adult health nurse practitioner prescribers was 1,280. Part D covers Medicare prescriptions only.

What is Karen M. Fischer, ACNS-BC's MIPS final score?

The 2023 MIPS final score is 76.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.