Karah Leigh Brashier, APRN
Opted out of Medicare from February 2016 to February 2028. Nurse Practitioner, Psych/Mental Health (APRN) in Richardson, Texas, licensed in TX, with an NPI issued in March 2013. Part D covered 87 prescriptions written in 2024, 90% of them generic. Axsome Therapeutics, Inc. was the largest of 19 companies reporting payments in 2025, $197,977 in all, mostly honoraria.
Overview
| NPI | 1497096101 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Mar 5, 2013 |
| Last updated in NPPES | Mar 5, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 750288 | TX |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Feb 18, 2016 – Feb 18, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 87 · 137 30-day fills |
|---|---|
| Total drug cost | $15,331 |
| Generic share | 90% of claims |
Industry payments (Open Payments)
- 2025$197,977 · 425 payments from 19 companies
- 2024$170,438 · 379 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $117,457 | 189 |
| Abbvie Inc. | $32,420 | 82 |
| Janssen Pharmaceuticals, Inc | $30,626 | 47 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $15,535 | 42 |
| E.R. Squibb & Sons, L.L.C. | $1,090 | 17 |
What the 2025 payments were for
- Honoraria$97,342 · 61 payments
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$58,860 · 29 payments
- Travel and Lodging$31,411 · 115 payments
- Food and Beverage$6,764 · 218 payments
- Consulting Fee$3,600 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 42 psychiatric nurse practitioners in Richardson · All psychiatric nurse practitioners in Texas