2026 NPPES data Psychiatric/Mental Health Registered Nurse NPI 1174086599 APRN, CNP
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KAREN SENICA, APRN, CNP

Psychiatric/Mental Health Registered Nurse in WOODSTOCK, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
528
Medicare Part D claims · 62 beneficiaries · Psychiatric/Mental Health Registered Nurse avg: 893
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1036/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

KAREN SENICA, APRN, CNP reported a CMS MIPS final score of 94.1036/100 — above the 83.1 national average — and filed 528 Medicare Part D claims in 2023.

94.1036/100
MIPS score · +11 vs avg
528
Part D claims, 2023
97%
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.

KAREN SENICA, APRN, CNP's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

94 Top 25% higher than 75% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about KAREN SENICA, APRN, CNP?

High performer (top quartile)

NPI registry status

Active

Issued 04/11/2019

NPI 1174086599

Primary specialty

Psychiatric/Mental Health Registered Nurse

Mid-sized

11,711 US NPIs in this specialty

Medicare Part D claims

528 41% vs specialty avg

2023 prescription claims

Specialty avg: 893

MIPS final score

94.1036/100 11.003600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

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

Illinois providers

Psychiatric/Mental Health Registered Nurse share within Illinois

1. Psychiatric/Mental Health Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Registered Nurse share within Illinois

Medicare quality performance — MIPS

KAREN SENICA, APRN, CNP's 2023 MIPS final score plotted against the Psychiatric/Mental Health Registered Nurse national average

High performer (top quartile)
MIPS Final Score
94.1036/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatric/Mental Health Registered Nurse) — 94.1036/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Psychiatric/Mental Health Registered Nurse) — 94.1036/100 vs national avg 83.1

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).

KAREN SENICA, APRN, CNP appears in the CMS NPPES registry as a Psychiatric/Mental Health Registered Nurse provider holding APRN, CNP credentials at 3701 DOTY RD, WOODSTOCK, IL, 60098, with a listed phone of (815) 334-5018. NPI 1174086599 was issued on 04/11/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SENICA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 528 prescription claims written by this provider, covering 62 Medicare beneficiaries and totaling roughly $36K in drug spend, split 3% brand-name and 97% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1036/100 for the 2023 performance year (Quality 82.5938), compared with the national average of 83.1.

Psychiatric/Mental Health Registered Nurse is a mid-sized specialty nationwide, with 11,711 enrolled providers across 54 states and an average of 893 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

3701 DOTY RD
WOODSTOCK, IL 60098

Provider Details

NPI 1174086599
Specialty Psychiatric/Mental Health Registered Nurse
Credentials APRN, CNP
Gender Female
NPI Issued 04/11/2019

CMS Quality Score (MIPS)

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

94.1036
Final Score
Avg: 83.1
82.5938
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KAREN SENICA, APRN, 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.

CENTRAL DUPAGE PHYSICIAN GROUP
WOODSTOCK, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to KAREN SENICA, APRN, CNP. To verify KAREN SENICA, APRN, CNP's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

KAREN SENICA, APRN, CNP — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 528 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.

528
Total Claims
$36K
Total Drug Cost
62
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
767
Total Day Supply
22,488
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$25K
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
60.3 years
Avg HCC Risk Score
1.21
Gender Split
74% female / 26% male
Age Distribution
<65: 31, 65-74: 24, 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 KAREN SENICA, APRN, CNP 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
Lamotrigine
89
Clonazepam
73
Quetiapine Fumarate
52
Alprazolam
28
Fluoxetine Hcl
26
Trazodone Hcl
26
Duloxetine Hcl
23
Sertraline Hcl
23
Escitalopram Oxalate
20
Aripiprazole
19

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

Psychiatric/Mental Health Registered Nurse Overview

How KAREN SENICA, APRN, CNP fits within the Psychiatric/Mental Health Registered Nurse landscape nationally.

11,711
Psychiatric/Mental Health Registered Nurse Providers in US
54
States with Psychiatric/Mental Health Registered Nurse
893
Avg Claims per Provider

KAREN SENICA, APRN, CNP's 528 claims are below the specialty average of 893.

Nearby Psychiatric/Mental Health Registered Nurse Providers in Illinois

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

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

Frequently Asked Questions

What is KAREN SENICA, APRN, CNP's specialty?
KAREN SENICA, APRN, CNP specializes in Psychiatric/Mental Health Registered Nurse and practices in WOODSTOCK, Illinois. Credentials: APRN, CNP.
How much does KAREN SENICA, APRN, CNP prescribe under Medicare Part D?
In 2023, KAREN SENICA, APRN, CNP wrote 528 Medicare Part D claims totaling $36K in drug costs for 62 beneficiaries.
What is KAREN SENICA, APRN, CNP's Medicare quality score?
KAREN SENICA, APRN, CNP has a CMS MIPS Final Score of 94.1036/100 (Quality: 82.5938). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAREN SENICA, APRN, CNP located?
KAREN SENICA, APRN, CNP is located at 3701 DOTY RD, WOODSTOCK, IL, 60098. Phone: (815) 334-5018.
What is KAREN SENICA, APRN, CNP's NPI number?
KAREN SENICA, APRN, CNP's National Provider Identifier (NPI) is 1174086599, issued on 04/11/2019.
Does KAREN SENICA, APRN, CNP prescribe more brand-name or generic drugs?
KAREN SENICA, APRN, CNP's prescribing is 3% brand-name and 97% generic drugs by claim count, with $25K in brand drug costs.
How many Psychiatric/Mental Health Registered Nurse providers are there in the US?
There are 11,711 Psychiatric/Mental Health Registered Nurse providers across 54 states in the US. The average Psychiatric/Mental Health Registered Nurse provider writes 893 Medicare Part D claims per year.
What drugs does KAREN SENICA, APRN, CNP prescribe most often?
Based on 2023 Medicare Part D data, KAREN SENICA, APRN, CNP's most frequently prescribed drugs include Lamotrigine, Clonazepam, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN SENICA, APRN, CNP accept Medicare?
KAREN SENICA, APRN, CNP appears in CMS Medicare data with 528 Part D claims and 62 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN SENICA, APRN, CNP's credentials?
KAREN SENICA, APRN, CNP's NPI is 1174086599 with credentials APRN, 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

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