Karen Contreras, PMHNP
NPI 1285358465 · Psychiatric/Mental Health Nurse Practitioner · Decatur, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Contreras, PMHNP is a Psychiatric/Mental Health Nurse Practitioner provider in Decatur, TX (NPI 1285358465).
Provider details
- NPI number
- 1285358465
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1091148 (TX)
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
3 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
418 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) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 119 | $60 |
| Assessment of Emotional Or Behavioral Problems96127 | 85 | $4 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 66 | $74 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 52 | $105 |
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 42 | $60 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 35 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Trazodone Hcl | 157 | 45 |
| Lamotrigine | 146 | 39 |
| Escitalopram Oxalate | 138 | 40 |
| Aripiprazole | 135 | 37 |
| Buspirone Hcl | 126 | 35 |
| Duloxetine Hcl | 106 | 25 |
| Quetiapine Fumarate | 99 | 25 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,570 across 113 records (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
- 2022-09-30
- Last updated
- 2022-09-30
- Certified
- 2022-09-30
Frequently asked questions
- What is Karen Contreras's NPI number?
- Karen Contreras's National Provider Identifier (NPI) is 1285358465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Contreras's specialty?
- Karen Contreras is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Karen Contreras located?
- Karen Contreras's practice location on file with NPPES is 902 Preskitt Rd Ste 200, Decatur, TX 76234-4101.
- What is Karen Contreras's phone number?
- The practice phone number listed in the NPPES registry for Karen Contreras is (940) 218-5810.
- Does Karen Contreras accept Medicare?
- Karen Contreras is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Contreras's NPI active?
- Yes — Karen Contreras's NPI (1285358465) is active in the NPPES registry as of the last update on 2022-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.