Karen K. Milstead, FNP
NPI 1578660767ActiveIndividual· Nurse Practitioner, Family· Montpelier, VA
Nurse Practitioner, Family (FNP) with Kare More Medical LLC, practicing in Montpelier, Virginia. Their prescriptions cost Medicare Part D more than their services did: $664,839 for 12,450 claims, against $204,011 paid for services in 2024. Alkermes, Inc. reported $108.43 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1578660767 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Aug 15, 2023 |
| Certified by provider | Aug 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 0024165346 | VA |
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 (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 352 |
|---|---|
| Services billed | 2,927 across 6 procedure codes |
| Paid by Medicare | $204,011 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12,450 · 12,728 30-day fills |
|---|---|
| Patients | 368 |
| Total drug cost | $664,839 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Kare More Medical LLCRichmond, VA · 3 clinicians
Other facilities
- Brookside Home Health, An Amedisys CompanyHome health agency · Williamsburg, VA
- Commonwealth Home CareHome health agency · Richmond, VA
- Medi Home Health AgencyHome health agency · Chesapeake, VA
- Welcome HomecareHome health agency · Richmond, VA
- Ascend HospiceHospice · Glen Allen, VA
Industry payments (Open Payments)
- 2025$108.43 · 1 payment from 1 company
- 2024$287.88 · 9 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alkermes, Inc. | $108.43 | 1 |
What the 2025 payments were for
- Food and Beverage$108.43 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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