Sara Louise Koenig Langston, APRN, PMHNP-BC
NPI 1265095061ActiveIndividual· Nurse Practitioner, Psych/Mental Health· New Braunfels, TX
Nurse Practitioner, Psych/Mental Health (APRN, PMHNP-BC) with Affective Mental Wellness LLC, practicing in New Braunfels, Texas. Their prescriptions cost Medicare Part D more than their services did: $1,091,681 for 2,280 claims, against $140,459 paid for services in 2024. Alkermes, Inc. was the largest of 13 companies reporting payments in 2025, $24,914 in all, mostly speaking and faculty fees.
Overview
| NPI | 1265095061 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, PMHNP-BC |
| Sole proprietor | Yes |
| NPI issued | Apr 17, 2019 |
| Last updated in NPPES | Mar 24, 2026 |
| Certified by provider | Mar 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | AP142266 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 59 |
|---|---|
| Services billed | 434 across 13 procedure codes |
| Paid by Medicare | $140,459 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,280 · 2,390 30-day fills |
|---|---|
| Patients | 88 |
| Total drug cost | $1,091,681 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Affective Mental Wellness LLCNew Braunfels, TX · 4 clinicians
Industry payments (Open Payments)
- 2025$24,914 · 130 payments from 13 companies
- 2024$1,082 · 60 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alkermes, Inc. | $23,375 | 53 |
| Lundbeck LLC | $302.53 | 15 |
| Otsuka America Pharmaceutical, Inc. | $251.77 | 14 |
| E.R. Squibb & Sons, L.L.C. | $206.81 | 12 |
| Janssen Pharmaceuticals, Inc | $157.09 | 7 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$16,420 · 11 payments
- Consulting Fee$4,380 · 2 payments
- Food and Beverage$2,621 · 103 payments
- Travel and Lodging$1,493 · 14 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Psych/Mental Health providers in New Braunfels
- 1235846007
- 1396354874
- 1629892757
- 1851266530
- 1417786732
- 1528802881
- 1184343808
- 1053916379
- 1003782194
- 1619549037
- 1558702571
- 1134915838
All Nurse Practitioner, Psych/Mental Health providers in Texas →