Karalyn M. Adam, DNP, RN
NPI 1780933051ActiveIndividual· Nurse Practitioner· Marshfield, WI
Nurse Practitioner (DNP, RN) with McHs Hospitals Inc and 2 other groups, practicing in Marshfield, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $352,532 for 2,114 claims, against $18,766 paid for services in 2024. Impulse Dynamics (USA) Inc. reported $41.93 in payments in 2025, mostly food and beverage. Lists Marshfield Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1780933051 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP, RN |
| Sole proprietor | Yes |
| NPI issued | Sep 2, 2012 |
| Last updated in NPPES | Jun 6, 2022 |
| Certified by provider | Jun 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 10224-33 | WI |
| Registered Nurse | 163W00000X | 146176-030 | WI |
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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 132 |
|---|---|
| Services billed | 296 across 12 procedure codes |
| Paid by Medicare | $18,766 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,114 · 4,525 30-day fills |
|---|---|
| Patients | 291 |
| Total drug cost | $352,532 |
| Generic share | 76% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- McHs Hospitals IncMarshfield, WI · 1,197 clinicians
- Lakeview Medical Center Inc of Rice LakeRice Lake, WI · 168 clinicians
- Memorial Hospital IncNeillsville, WI · 41 clinicians
Hospital affiliations
- Marshfield Medical CenterMarshfield, WI
- Marshfield Medical Center - MinocquaMinocqua, WI
Industry payments (Open Payments)
- 2025$41.93 · 1 payment from 1 company
- 2024$50.09 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Impulse Dynamics (USA) Inc. | $41.93 | 1 |
What the 2025 payments were for
- Food and Beverage$41.93 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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