Karen Louise Architect, DNP-FNP,BC,APRN
NPI 1871837443ActiveIndividual· Nurse Practitioner, Family· San Antonio, TX
Nurse Practitioner, Family (DNP-FNP,BC,APRN) in San Antonio, Texas, licensed in TX, with an NPI issued in November 2012. Their prescriptions cost Medicare Part D more than their services did: $144,484 for 1,092 claims, against $17,873 paid for services in 2024. Boston Scientific Corporation was the largest of 9 companies reporting payments in 2025, $597.62 in all, mostly food and beverage.
Overview
| NPI | 1871837443 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP-FNP,BC,APRN |
| Sole proprietor | No |
| NPI issued | Nov 20, 2012 |
| Last updated in NPPES | Jul 10, 2024 |
| Certified by provider | Jul 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP123005 | TX |
| Family Medicine | 207Q00000X | AP123005 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 208 across 12 procedure codes |
| Paid by Medicare | $17,873 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,092 · 2,417 30-day fills |
|---|---|
| Patients | 81 |
| Total drug cost | $144,484 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
- 2025$597.62 · 10 payments from 9 companies
- 2024$699.61 · 19 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $141.57 | 1 |
| Axsome Therapeutics, Inc. | $124.36 | 1 |
| Acadia Pharmaceuticals Inc | $122.17 | 1 |
| Amarin Pharma, Inc. | $112.66 | 1 |
| Abbvie Inc. | $32.70 | 2 |
What the 2025 payments were for
- Food and Beverage$597.62 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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