Karen Karalunas-Fisher, NP
NPI 1043249873 · Adult Health Nurse Practitioner · Cape Girardeau, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Karalunas-Fisher, NP is a Adult Health Nurse Practitioner provider in Cape Girardeau, MO (NPI 1043249873).
Provider details
- NPI number
- 1043249873
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 135376 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
352 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 138 | $13 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 97 | $54 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 75 | $79 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 23 | $109 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 19 | $29 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 57 | 16 |
| Apixabanbrand: Eliquis | 36 | — |
| Metoprolol Succinate | 32 | 14 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 27 | — |
| Cephalexin | 20 | 14 |
| Amlodipine Besylate | 16 | — |
| Furosemide |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$23 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2021-03-10
- Certified
- 2021-03-10
Frequently asked questions
- What is Karen Karalunas-Fisher's NPI number?
- Karen Karalunas-Fisher's National Provider Identifier (NPI) is 1043249873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Karalunas-Fisher's specialty?
- Karen Karalunas-Fisher is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Karen Karalunas-Fisher located?
- Karen Karalunas-Fisher's practice location on file with NPPES is 3250 Gordonville Rd Ste 358, Cape Girardeau, MO 63703-5095.
- What is Karen Karalunas-Fisher's phone number?
- The practice phone number listed in the NPPES registry for Karen Karalunas-Fisher is (573) 331-3155.
- Does Karen Karalunas-Fisher accept Medicare?
- Karen Karalunas-Fisher is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Karalunas-Fisher's NPI active?
- Yes — Karen Karalunas-Fisher's NPI (1043249873) is active in the NPPES registry as of the last update on 2021-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.