MISS KAREN MCCAIN NURSE PRACTITONER
NPI 1003363078
Nurse Practitioner - Family in Columbia, SC

Q: What is Karen Mccain's NPI number?

The NPI number for Karen Mccain is 1003363078. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Q: What is Karen Mccain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Mccain was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 07, 2016PECOS EnrolledAccepts Medicare Assignment

111 DOCTOR CIR, COLUMBIA, SC 29203(800) 491-0909 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2022, Mar 28, 2018, Oct 20, 2016 (3 updates tracked since 2016).

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About Miss Karen Mccain Nurse Practitoner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KAREN MCCAIN NURSE PRACTITONER (NPI 1003363078) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (20411) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orangeburg, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003363078

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS KAREN MCCAINCredential: NURSE PRACTITONER

Location Address111 DOCTOR CIRColumbia, SC 29203-6502

Mailing Address111 Doctor CirColumbia, SC 29203-6502 · (800) 491-0909

Phone(800) 491-0909

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 7, 2016

Last NPPES UpdateNovember 4, 20223 updates tracked since enumeration

NPPES CertifiedNovember 4, 2022

✔ NPI 1003363078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 20411

111 DOCTOR CIR, Columbia, SC 29203

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Secondary Practice Location 1

Location 13000 St Mathews RoadOrangeburg, SC 29118-1498 · Phone (803) 395-2847

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Karen Mccain Nurse Practitoner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628357225

PECOS Enrollment IDI20161123001329

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,026 services112 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

347 services17 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

80 services30 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

71 services17 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

35 services11 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

31 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKETA D RILEY APRN

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