Karina Alexi Bethje, RN
NPI 1952042210ActiveIndividual· Nurse Practitioner· Spokane, WA
Nurse Practitioner (RN) with Providence Health and Services Washington, practicing in Spokane, Washington. 423 Medicare patients in 2024, $29,927 paid; nearly all of their 714 Part D prescriptions were generic (94%). Abbvie Inc. reported $17.53 in payments in 2025, mostly food and beverage. Lists Bonner General Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1952042210 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Apr 1, 2022 |
| Last updated in NPPES | Feb 22, 2026 |
| Certified by provider | Feb 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP61334650 | WA |
| Nurse Practitioner | 363L00000X | 75340 | ID |
| Registered Nurse, Emergency | 163WE0003X | RN00152666 | WA |
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 (ID); Practitioner - Nurse Practitioner (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 423 |
|---|---|
| Services billed | 786 across 42 procedure codes |
| Paid by Medicare | $29,927 |
Part D prescriptions in 2024
| Prescriptions (claims) | 714 · 722 30-day fills |
|---|---|
| Patients | 416 |
| Total drug cost | $9,372 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Providence Health and Services WashingtonSpokane, WA · 784 clinicians
Hospital affiliations
- Bonner General HospitalSandpoint, ID
- Prov Sacred Hrt Med Ctr & Childs Hosp.Spokane, WA
- Samaritan HospitalMoses Lake, WA
Industry payments (Open Payments)
- 2025$17.53 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $17.53 | 1 |
What the 2025 payments were for
- Food and Beverage$17.53 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 203 nurse practitioners in Spokane · All nurse practitioners in Washington