Karen Pence Metz, NP
NPI 1285826883ActiveIndividual· Nurse Practitioner, Family· Cullman, AL
Nurse Practitioner, Family (NP) with Remedy Behavioral Health LLC and 1 other group, practicing in Cullman, Alabama. 519 Medicare patients in 2024, $187,616 paid; nearly all of their 1,654 Part D prescriptions were generic (99%). Alpha Cognition USA, Inc. was the largest of 2 companies reporting payments in 2025, $223.56 in all, mostly food and beverage.
Overview
| NPI | 1285826883 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Aug 16, 2007 |
| Last updated in NPPES | Jul 24, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 1-080321 | AL |
| Registered Nurse | 163W00000X | 1-080321 | AL |
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 (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 519 |
|---|---|
| Services billed | 3,032 across 5 procedure codes |
| Paid by Medicare | $187,616 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,654 · 1,686 30-day fills |
|---|---|
| Patients | 251 |
| Total drug cost | $49,019 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Remedy Behavioral Health LLCPulaski, TN · 44 clinicians
- Feras Hamdan Alabama MD PCCullman, AL · 4 clinicians
Industry payments (Open Payments)
- 2025$223.56 · 2 payments from 2 companies
- 2024$15.19 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alpha Cognition USA, Inc. | $199.28 | 1 |
| Neurocrine Biosciences, Inc. | $24.28 | 1 |
What the 2025 payments were for
- Food and Beverage$223.56 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 79 family nurse practitioners in Cullman · All family nurse practitioners in Alabama