Karen Elizabeth Shadow, FNP
NPI 1609380856ActiveIndividual· Nurse Practitioner, Family· Baytown, TX
Nurse Practitioner, Family (FNP) with Tmh Physician Associates PLLC and 1 other group, practicing in Baytown, Texas. In 2024 Medicare paid $29,851 for 263 patients, and Part D covered 110 of their prescriptions, 81% of them generic. Medtronic, Inc. was the largest of 7 companies reporting payments in 2025, $1,818 in all, mostly food and beverage. Lists Houston Methodist Baytown Hospital as a hospital affiliation.
Overview
| NPI | 1609380856 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Nov 27, 2017 |
| Last updated in NPPES | Sep 6, 2024 |
| Certified by provider | Sep 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP134316 | 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) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 263 |
|---|---|
| Services billed | 350 across 11 procedure codes |
| Paid by Medicare | $29,851 |
Part D prescriptions in 2024
| Prescriptions (claims) | 110 · 214 30-day fills |
|---|---|
| Patients | 40 |
| Total drug cost | $22,412 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Tmh Physician Associates PLLCKaty, TX · 1,690 clinicians
- Houston Methodist Specialty PhysiciansHouston, TX · 1,528 clinicians
Hospital affiliation
- Houston Methodist Baytown HospitalBaytown, TX
Industry payments (Open Payments)
- 2025$1,818 · 20 payments from 7 companies
- 2024$1,917 · 28 payments from 19 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $1,246 | 14 |
| Madrigal Pharmaceuticals | $139.99 | 1 |
| Gilead Sciences, Inc. | $121.86 | 1 |
| Abbvie Inc. | $111.22 | 1 |
| Axsome Therapeutics, Inc. | $97.61 | 1 |
What the 2025 payments were for
- Food and Beverage$1,020 · 17 payments
- Travel and Lodging$798.38 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 65 family nurse practitioners in Baytown · All family nurse practitioners in Texas