Karen A. Karalunas-Fisher, NP
Adult Health Nurse Practitioner · Cape Girardeau, MO
Karen A. Karalunas-Fisher, NP is an adult health nurse practitioner with a practice address in Cape Girardeau, Missouri, and NPI 1043249873, issued on Jul 2, 2006. Check the license (Missouri 135376, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Karen A. Karalunas-Fisher
- Credential
- NP
- Primary taxonomy
- Adult Health Nurse Practitioner 363LA2200X
- License number
- 135376 MO
Self-reported in NPPES; status is on the state search - Practice location
- 3250 Gordonville RD Ste 358, Cape Girardeau, MO 63703
- Phone
- (573) 331-3155
- Enumerated
- Jul 2, 2006
- Record last updated
- Mar 10, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (573) 331-5096
- Medicare enrollment
- Enrolled (PECOS I20031124000056); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest adult health nurse practitioner records → All 794 in Missouri → Look up another NPI →
Also registered at 3250 Gordonville RD Ste 358
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Karen A. Karalunas-Fisher in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 135376Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
75% fewer Medicare Part D claims than the average adult health nurse practitioner in 2024
319 Medicare Part D claims for 120 beneficiaries, against an average of 1,280 among the 16,937 providers of this specialty who prescribed in Part D. Brand-name drugs were 19% of claims.
Most prescribed
- Gabapentin57 claims
- Eliquis36 claims
- Metoprolol Succinate32 claims
- Clopidogrel27 claims
- Cephalexin20 claims
- Amlodipine Besylate16 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 MIPS final score for 2023 (Medicare payment program): 92.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $22.83
1 payment: food and beverage; the largest payer was Abbott Laboratories. 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.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
One hospital affiliation
- Saint Francis Medical CenterCape Girardeau, MO · Acute Care Hospitals3 of 5 stars
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). Star ratings are CMS hospital ratings, not ratings of this provider.
Karen A. Karalunas-Fisher among 794 adult health nurse practitioner records in Missouri
Karen A. Karalunas-Fisher, NP 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 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 81% newer
- In a Medicare fileYes · 68% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2002 · median 2013 among the 399 with a school on file
- Record last updated2021 · 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).
Adult Health Nurse Practitioner providers in Missouri
There are 794 adult health nurse practitioner records in Missouri.
All 794 in Missouri → Every provider in Cape Girardeau → Adult Health Nurse Practitioner nationwide →
The 8 adult health nurse practitioner records with the nearest ZIP codes
- Jessica Beerup, AGPCNPCape Girardeau, MO 637031265874903
- Candice Crow, AGPCNPCape Girardeau, MO 637031902278773
- Deborah Evans, APRN,BC, FNPCape Girardeau, MO 637031366497604
- Andrea Faulkner, NPCape Girardeau, MO 637031043341928
- John Hamm, AGPCNP-BCCape Girardeau, MO 637031861172397
- Kristen Horn, AGACNP-BCCape Girardeau, MO 637031710723473
- Wendy Jauch, APRNCape Girardeau, MO 637031902347693
- Amos MachariaCape Girardeau, MO 637031457983785
Common questions
What is Karen A. Karalunas-Fisher, NP's NPI number?
Karen A. Karalunas-Fisher, NP's National Provider Identifier (NPI) is 1043249873, issued on Jul 2, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Karen A. Karalunas-Fisher, NP located?
The NPPES record lists a practice address at 3250 Gordonville RD Ste 358, Cape Girardeau, MO, 63703. Phone: (573) 331-3155. Providers update this record themselves, so call before visiting.
How can I verify Karen A. Karalunas-Fisher, NP's license?
NPPES lists Missouri license number 135376, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
How much does Karen A. Karalunas-Fisher, NP prescribe under Medicare Part D?
In 2024, Karen A. Karalunas-Fisher, NP had 319 Medicare Part D claims for 120 beneficiaries; the average among adult health nurse practitioner prescribers was 1,280. Part D covers Medicare prescriptions only.
What is Karen A. Karalunas-Fisher, NP's MIPS final score?
The 2023 MIPS final score is 92.6 of 100. 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.