Karen Hinton, PMHNP
NPI 1659970515 · Psychiatric/Mental Health Nurse Practitioner · Madison, AL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Hinton, PMHNP is a Psychiatric/Mental Health Nurse Practitioner provider in Madison, AL (NPI 1659970515).
Provider details
- NPI number
- 1659970515
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1-038053 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 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
355 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 143 | $99 |
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 124 | $57 |
| Testing for Presence of Drug, Read By Direct Observation80305 | 38 | $12 |
| Psychotherapy With Evaluation and Management Visit, 1 Hour90838 | 17 | $96 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 17 | $129 |
| Psychotherapy With Evaluation and Management Visit, 45 Minutes90836 | 16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Trazodone Hcl | 121 | 41 |
| Quetiapine Fumarate | 119 | 39 |
| Sertraline Hcl | 88 | 26 |
| Bupropion Hclbrand: Bupropion Xl | 84 | 28 |
| Buspirone Hcl | 79 | 31 |
| Duloxetine Hcl | 74 | 25 |
| Escitalopram Oxalate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,516 across 56 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
- 2020-10-21
- Last updated
- 2023-10-30
- Certified
- 2023-10-30
Frequently asked questions
- What is Karen Hinton's NPI number?
- Karen Hinton's National Provider Identifier (NPI) is 1659970515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Hinton's specialty?
- Karen Hinton 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 Hinton located?
- Karen Hinton's practice location on file with NPPES is 600 Sun Temple Dr, Madison, AL 35758-8643.
- What is Karen Hinton's phone number?
- The practice phone number listed in the NPPES registry for Karen Hinton is (256) 325-2627.
- Does Karen Hinton accept Medicare?
- Karen Hinton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Hinton's NPI active?
- Yes — Karen Hinton's NPI (1659970515) is active in the NPPES registry as of the last update on 2023-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.