Karen Lynn Lester, FNP-BC
NPI 1922565225ActiveIndividual· Nurse Practitioner, Family· Kodak, TN
Opted out of Medicare from January 2021 to January 2027. Nurse Practitioner, Family (FNP-BC) in Kodak, Tennessee, licensed in TN and VA, with an NPI issued in February 2019. Part D covered 179 prescriptions written in 2024, 91% of them generic. Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) was the largest of 3 companies reporting payments in 2025, $97.42 in all, mostly food and beverage.
Overview
| NPI | 1922565225 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | No |
| NPI issued | Feb 23, 2019 |
| Last updated in NPPES | Sep 11, 2025 |
| Certified by provider | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 25497 | TN |
| Family Medicine | 207Q00000X | 0024177388 | VA |
| Nurse Practitioner | 363L00000X | 0024177388 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 28, 2021 – Jan 28, 2027 |
| 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) | 179 · 227 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $2,858 |
| Generic share | 91% of claims |
Industry payments (Open Payments)
- 2025$97.42 · 5 payments from 3 companies
- 2024$108.59 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $47.76 | 2 |
| Abbvie Inc. | $34.39 | 2 |
| Vanda Pharmaceuticals Inc. | $15.27 | 1 |
What the 2025 payments were for
- Food and Beverage$97.42 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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