2026 NPPES data Family Nurse Practitioner NPI 1154046704 ARNP, FNP-BC
Verify on CMS →

PATIENCE KARSTEN, ARNP, FNP-BC

Family Nurse Practitioner in SUNNYSIDE, Washington. 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
130
Medicare Part D claims · 38 beneficiaries · Family Nurse Practitioner avg: 1K
Industry payments
$500.63
12 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PATIENCE KARSTEN, ARNP, FNP-BC filed 130 Medicare Part D claims in 2023 as a Family Nurse Practitioner in SUNNYSIDE, Washington.

130
Part D claims, 2023
$500.63
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.

PATIENCE KARSTEN, ARNP, FNP-BC's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

130 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about PATIENCE KARSTEN, ARNP, FNP-BC?

Quality data not reported

NPI registry status

Active

Issued 10/06/2022

NPI 1154046704

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

130 89% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in Washington

How Family Nurse Practitioner compares to other specialties among Washington providers

Washington providers

Family Nurse Practitioner share within Washington

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

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).

PATIENCE KARSTEN, ARNP, FNP-BC appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding ARNP, FNP-BC credentials at 1016 TACOMA AVE, SUNNYSIDE, WA, 98944, with a listed phone of (509) 837-1500. NPI 1154046704 was issued on 10/06/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KARSTEN 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 130 prescription claims written by this provider, covering 38 Medicare beneficiaries and totaling roughly $17K in drug spend. 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.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

1016 TACOMA AVE
SUNNYSIDE, WA 98944

Provider Details

NPI 1154046704
Specialty Family Nurse Practitioner
Credentials ARNP, FNP-BC
Gender Female
NPI Issued 10/06/2022

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 PATIENCE KARSTEN, ARNP, FNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$501

Largest payer

Aroa Biosurgery Incorporated

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 — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to PATIENCE KARSTEN, ARNP, FNP-BC. To verify PATIENCE KARSTEN, ARNP, FNP-BC's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

130
Total Claims
$17K
Total Drug Cost
38
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
133
Total Day Supply
1,354
Generic Drug Cost
$15K
Antibiotic Claims
120

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
3.14
Gender Split
45% female / 55% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What PATIENCE KARSTEN, ARNP, FNP-BC 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
Ertapenem
Ertapenem Sodium
20
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
16
Ciprofloxacin Hcl
11

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

Family Nurse Practitioner Overview

How PATIENCE KARSTEN, ARNP, FNP-BC fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

PATIENCE KARSTEN, ARNP, FNP-BC's 130 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Washington

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

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is PATIENCE KARSTEN, ARNP, FNP-BC's specialty?
PATIENCE KARSTEN, ARNP, FNP-BC specializes in Family Nurse Practitioner and practices in SUNNYSIDE, Washington. Credentials: ARNP, FNP-BC.
How much does PATIENCE KARSTEN, ARNP, FNP-BC prescribe under Medicare Part D?
In 2023, PATIENCE KARSTEN, ARNP, FNP-BC wrote 130 Medicare Part D claims totaling $17K in drug costs for 38 beneficiaries.
Where is PATIENCE KARSTEN, ARNP, FNP-BC located?
PATIENCE KARSTEN, ARNP, FNP-BC is located at 1016 TACOMA AVE, SUNNYSIDE, WA, 98944. Phone: (509) 837-1500.
What is PATIENCE KARSTEN, ARNP, FNP-BC's NPI number?
PATIENCE KARSTEN, ARNP, FNP-BC's National Provider Identifier (NPI) is 1154046704, issued on 10/06/2022.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does PATIENCE KARSTEN, ARNP, FNP-BC prescribe most often?
Based on 2023 Medicare Part D data, PATIENCE KARSTEN, ARNP, FNP-BC's most frequently prescribed drugs include Ertapenem, Sulfamethoxazole-Trimethoprim, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PATIENCE KARSTEN, ARNP, FNP-BC accept Medicare?
PATIENCE KARSTEN, ARNP, FNP-BC appears in CMS Medicare data with 130 Part D claims and 38 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PATIENCE KARSTEN, ARNP, FNP-BC's credentials?
PATIENCE KARSTEN, ARNP, FNP-BC's NPI is 1154046704 with credentials ARNP, FNP-BC. 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.
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