NPPES file of Aug 9, 2026

Karen Denise Zunker, APRN

Family Nurse Practitioner · San Marcos, TX

Karen Denise Zunker, APRN is a family nurse practitioner with a practice address in San Marcos, Texas, and NPI 1629578018, issued on Feb 13, 2018. Check the license (Texas AP141056, as entered in NPPES) with the Texas 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
1629578018
Name
Karen Denise Zunker
Credential
APRN
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License numbers
AP141056 TX
127165 OK
Self-reported in NPPES; status is on the state search
Practice location
1308 Wonder World Dr, San Marcos, TX 78666
Phone
(512) 396-5199
Enumerated
Feb 13, 2018
Record last updated
Aug 4, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(512) 396-5206
Medicare enrollment
Enrolled (PECOS I20190625000223); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
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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Also registered at 1308 Wonder World Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kori Cooper, FNP-CFamily Nurse Practitioner1255080354
  2. Richard Lawson, MDRadiation Oncology Physician1659353902
  3. Eric Meyers, MDHematology & Oncology Physician1942730916
  4. Brittany Severson, MSN, APRN, FNP-CFamily Nurse Practitioner1366285066
  5. Jason Smith, MDHematology & Oncology Physician1114137064

Verify Karen Denise Zunker in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license AP141056
    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 Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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59% fewer Medicare Part D claims than the average family nurse practitioner in 2024

532 Medicare Part D claims for 167 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D. Brand-name drugs were 5% of claims.

  1. Karen Zunker532
  2. Specialty average1,305

Most prescribed

  1. Prochlorperazine Maleate107 claims
  2. Ondansetron Odt105 claims
  3. Lidocaine-Prilocaine64 claims
  4. Prednisone26 claims
  5. Dexamethasone20 claims
  6. Pantoprazole Sodium18 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): 89.4 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.

  1. Qualityout of 100 · 30% of the final score75.9
  2. Costnot scored (reweighted)
  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; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Texas Oncology PASan Marcos, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Karen Denise Zunker among 21,242 family nurse practitioner records in Texas

Karen Denise Zunker, APRN is one of 21,242 family nurse practitioner records with a practice address in Texas. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 42% of them.

  • NPI issued2018 · 42% of these records are older, 50% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 53% of these records are
  • Graduated2017 · median 2018 among the 11,286 with a school on file
  • Record last updated2021 · 38% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

55 family nurse practitioner records list a practice address in San Marcos

They are 55 of the 1,003 NPPES records with a practice address in San Marcos, and 21,242 family nurse practitioner records in Texas.

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Mary Andres, FNPSan Marcos, TX 786661902106966
  2. Patricia Ballentine, R.N., MSN, FNP-CSan Marcos, TX 786661770688210
  3. Dana Bourke, NPSan Marcos, TX 786661356591432
  4. Ashley Ferguson, RN, FNP-CSan Marcos, TX 786661093045692
  5. Carol Garner, MSN,CS,FNPSan Marcos, TX 786661295734036
  6. Lydia Glisan, FNPSan Marcos, TX 786661750533543
  7. Laura Greek, FNPSan Marcos, TX 786661871754804
  8. Janan Hall, FNPSan Marcos, TX 786661992903777

Common questions

What is Karen Denise Zunker, APRN's NPI number?

Karen Denise Zunker, APRN's National Provider Identifier (NPI) is 1629578018, issued on Feb 13, 2018. An NPI identifies a provider in billing; it is not a license.

Where is Karen Denise Zunker, APRN located?

The NPPES record lists a practice address at 1308 Wonder World Dr, San Marcos, TX, 78666. Phone: (512) 396-5199. Providers update this record themselves, so call before visiting.

How can I verify Karen Denise Zunker, APRN's license?

NPPES lists Texas license number AP141056, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

How much does Karen Denise Zunker, APRN prescribe under Medicare Part D?

In 2024, Karen Denise Zunker, APRN had 532 Medicare Part D claims for 167 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.

What is Karen Denise Zunker, APRN's MIPS final score?

The 2023 MIPS final score is 89.4 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.