MRS. NAHVOTE KAREN FORKOM (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104675529
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for MRS. NAHVOTE KAREN FORKOM (PMHNP-BC)
18615 Tuscany Stone Ste 250
San Antonio, TX 782583504
Phone: (726) 207-5519
Type: Location
431 E State Highway 114 Ste 400
Southlake, TX 760924414
Phone: (817) 527-8621
Type: Location
3 Sugar Creek Center Blvd Ste 600
Sugar Land, TX 774782213
Phone: (346) 537-1292
Type: Location
8080 N Central Expy Ste 1250
Dallas, TX 752061890
Phone: (817) 527-8621
Type: Location
3355 W Alabama St Ste 1100
Houston, TX 770981868
Phone: (346) 537-1292
Fax: (346) 537-1292
Type: Location
3800 Gaylord Pkwy Spc 1100
Frisco, TX 750340584
Phone: (801) 821-2781
Fax: (801) 821-2781
Type: Location
6500 West Fwy Ste 700
Fort Worth, TX 761162180
Phone: (817) 527-8621
Fax: (817) 766-6409
Type: Location
1133 College Ave
Manhattan, KS 665022770
Phone: (804) 503-0544
Type: Location
2221 Lakeside Blvd Ste 1225
Richardson, TX 750824370
Phone: (817) 527-8621
Type: Location
10622 State Highway 151 Ste 209
San Antonio, TX 782514864
Phone: (726) 207-5519
Type: Location
1507 Lyndon B Johnson Fwy Ste 750
Dallas, TX 752346088
Phone: (817) 527-8621
Type: Location
600 Six Flags Dr Ste 600
Arlington, TX 760116340
Phone: (817) 527-8621
Type: Location
1005 DAGEN LN
JUNCTION CITY, KS 664412091
Phone: (804) 503-0544
Type: Mailing
1133 COLLEGE AVE
MANHATTAN, KS 665022770
Phone: (804) 503-0544
Type: Location
6601 Montana Ave Ste J
El Paso, TX 799252143
Phone: (804) 503-0544
Type: Location
9600 N MOPAC EXPY STE 650
AUSTIN, TX 787596507
Phone: (512) 955-8474
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240909000116 | I | Nurse Practitioner | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78258)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | KS | |
| Nurse Practitioner | KS | |
| Clinical Psychologist | KS | |
| Nurse Practitioner | KS | |
| Clinical Social Worker | KS | |
| P S Y C H I A T R Y | KS | |
| Nurse Practitioner | KS | |
| Mental Health Counselor | KS | |
| P S Y C H I A T R Y | TX | |
| Mental Health Counselor | KS |
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