Karen A. Karalunas-Fisher, NP
NPI 1043249873ActiveIndividual· Nurse Practitioner, Adult Health· Cape Girardeau, MO
Nurse Practitioner, Adult Health (NP) with Saint Francis Medical Center, practicing in Cape Girardeau, Missouri. Their prescriptions cost Medicare Part D more than their services did: $41,711 for 319 claims, against $14,080 paid for services in 2024. Cvrx, Inc. was the largest of 4 companies reporting payments in 2025, $260.80 in all, mostly food and beverage. Lists Missouri Delta Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1043249873 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jul 2, 2006 |
| Last updated in NPPES | Mar 10, 2021 |
| Certified by provider | Mar 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 135376 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 186 |
|---|---|
| Services billed | 386 across 16 procedure codes |
| Paid by Medicare | $14,080 |
Part D prescriptions in 2024
| Prescriptions (claims) | 319 · 409 30-day fills |
|---|---|
| Patients | 120 |
| Total drug cost | $41,711 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Saint Francis Medical CenterCape Girardeau, MO · 443 clinicians
Hospital affiliations
- Missouri Delta Medical CenterSikeston, MO
- Saint Francis Medical CenterCape Girardeau, MO
Industry payments (Open Payments)
- 2025$260.80 · 6 payments from 4 companies
- 2024$22.83 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Cvrx, Inc. | $167.58 | 2 |
| Stryker Corporation | $55.77 | 2 |
| Esperion Therapeutics, Inc. | $20.75 | 1 |
| Boston Scientific Corporation | $16.70 | 1 |
What the 2025 payments were for
- Food and Beverage$260.80 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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