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KAREN B GIQUINTO CRNP
NPI 1003898610
Nurse Practitioner in Pennington, NJ

Active since November 18, 2005PECOS Enrolled
95.77/100
CMS Quality Rating
1 CAPITAL WAY, PENNINGTON, NJ 08534(609) 303-4000(609) 303-4167 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2021, Apr 26, 2021 (2 updates tracked since 2021).

About Karen B Giquinto Crnp NPPES

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

KAREN B GIQUINTO CRNP (NPI 1003898610) is an individual nurse practitioner in Pennington, New Jersey, licensed in New Jersey (26NN07282900) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003898610
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN B GIQUINTOCredential: CRNP
Location Address1 CAPITAL WAYPennington, NJ 08534-2520
Mailing Address1 Capital WayPennington, NJ 08534-2520 · (609) 303-4000 · Fax (609) 303-4167
Phone(609) 303-4000
Fax(609) 303-4167
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateMay 17, 20212 updates tracked since enumeration
NPPES CertifiedMay 17, 2021
✔ NPI 1003898610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NN07282900
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1 CAPITAL WAY, Pennington, NJ 08534
Open in Google Maps ↗

Other Identifiers 1

Medicaid8471703NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen B Giquinto Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Giquinto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capital Health Medical Group
7.2 mi
Internal Medicine
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 581 clinicians in this Medicare group
NPI 1437516887 (609) 815-7829
First Docs LLC
10 mi
Internal Medicine
1235 WHITEHORSE MERCERVILLE RD STE 306
Hamilton, NJ 08619
  • Reassigned Medicare billing, New Jersey enrollment
  • 39 clinicians in this Medicare group
NPI 1154936227 (609) 585-1122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08534 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

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.

AARTI SANJEEV VADHAVKAR M.D.
Anesthesiology
1 CAPITAL WAY, DEPT OF ANESTHESIOLOGY, CAPITAL HEALTH HOPEWELL MEDICAL
PENNINGTON, NJ 08534
Mercer County (800) 637-2374
MRS. EMILY KATHERINE WARIAS NP
Nurse Practitioner
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (609) 303-6000
DANIEL FINKE CRNA
Nurse Anesthetist, Certified Registered
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (800) 637-2374
JENNIFER JIE XU DO
Emergency Medicine
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (609) 303-4010
RICHU RAJU MD
Emergency Medicine
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (609) 303-4000
SRIYA AMRUTA KOSARAJU MD
Student in an Organized Health Care Education/Training Program
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (800) 637-2374
CANDICE A DISANTI CNM
Advanced Practice Midwife
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (609) 303-4000
MADHURI ADABALA M.D.
Internal Medicine
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (609) 303-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Giquinto's NPI number?

The NPI number for Karen Giquinto is 1003898610. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Karen Giquinto located?

Karen Giquinto practices at 1 Capital Way, Pennington, NJ 08534. The listed phone number is (609) 303-4000.

What is Karen Giquinto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karen Giquinto enrolled in Medicare?

Yes. Karen Giquinto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Giquinto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Giquinto reassigns Medicare benefits to 2 organizations: Capital Health Medical Group (Trenton, NJ) and First Docs LLC (Hamilton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Giquinto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Giquinto accept?

Health plans from Oscar Health list Karen Giquinto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Giquinto was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.