Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Karen Denise Zunker, APRN

Individual provider Nurse Practitioner · NPI 1629578018

Karen Denise Zunker, APRN is a Nurse Practitioner in San Marcos, Texas. Qualified in 2017, 9 years ago. Practices with Texas Oncology PA, a 1,005-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma and Texas.

Years since qualifying
9
Licensed in
OK, TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

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Practice location Address checks out

1308 Wonder World Dr
San Marcos, TX 78666-7532
Phone: (512) 396-5199
Fax: (512) 396-5206
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP141056 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 127165 (OK)

Record details

NPI number1629578018
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 13, 2018
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Texas Oncology Pa — 1005 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients344
Services billed 1,607 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $15 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Guadalupe Regional Medical Center Hospital · Seguin, TX · listed as Guadalupe Regional Medical Group
  • Christus Santa Rosa Hospital-San Marcos Hospital · San Marcos, TX

Colleagues at Texas Oncology PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1005 clinicians in the practice; 12 are shown here.

Other providers in San Marcos