KAREN LYNN MACDONALD NP
NPI 1013652080
Nurse Practitioner - Family in Laurium, MI
About Karen Lynn Macdonald Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN LYNN MACDONALD NP (NPI 1013652080) is an individual family provider in Laurium, Michigan, licensed in Michigan (4704300917) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Aspirus Keweenaw Hospital And Clinics, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Karen Lynn Macdonald Np 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.
Medicare Billing Reassignments
5Medicare enrollment records show Karen Macdonald reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Laurium, MI 49913
- Reassigned Medicare billing, Michigan enrollment
- Also billed through NPI 1326115569 (Michigan)
- 210 clinicians in this Medicare group
Iron River, MI 49935
- Reassigned Medicare billing, Michigan enrollment
- Also billed through NPI 1497750830 (Michigan)
- 200 clinicians in this Medicare group
Iron River, MI 49935
- Reassigned Medicare billing, Michigan enrollment
- 244 clinicians in this Medicare group
Iron River, MI 49935
- Reassigned Medicare billing, Michigan enrollment
- 264 clinicians in this Medicare group
Wausau, WI 54401
- Reassigned Medicare billing, Michigan enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aspirus Keweenaw Hospital And Clinics
Critical Access Hospitals · Laurium, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
LAURIUM, MI 49913
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 Macdonald's NPI number?
The NPI number for Karen Macdonald is 1013652080. It was assigned to this individual provider in the NPPES registry on May 3, 2022. The provider is also known as Karen Lynn Loukus Rn.
Where is Karen Macdonald located?
Karen Macdonald practices at 205 Osceola St, Laurium, MI 49913. The listed phone number is (906) 337-6500.
What is Karen Macdonald's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Karen Macdonald enrolled in Medicare?
Yes. Karen Macdonald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Karen Macdonald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Macdonald reassigns Medicare benefits to 5 organizations: Aspirus Keweenaw (Laurium, MI), Aspirus Iron River Hospital & Clinics, Inc. (Iron River, MI), Aspirus Ironwood Hospital & Clinics Inc. (Iron River, MI), Aspirus Ironwood Hospital & Clinics Inc. (Iron River, MI) and Aspirus Medical Group, Inc. (Wausau, WI). 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 Macdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Macdonald accept?
Health plans from Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Security Health Plan list Karen Macdonald 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.
Is Karen Macdonald affiliated with any hospitals?
According to CMS data, Karen Macdonald is affiliated with Aspirus Keweenaw Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Karen Macdonald was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Karen Lynn Macdonald, NP · NPI 1013652080
Family physician in Laurium, Michigan. Individual provider, active in the CMS NPPES registry since May 3, 2022.
## Identity
- **NPI:** 1013652080 (Entity type: Individual)
- **Enumerated:** May 3, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704300917 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 205 OSCEOLA ST, Laurium, MI 49913-2134
- **Phone:** (906) 337-6500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Aspirus Keweenaw (NPI 1205998713, Laurium, MI); Aspirus Iron River Hospital & Clinics, Inc. (NPI 1609066356, Iron River, MI); Aspirus Ironwood Hospital & Clinics Inc. (NPI 1073293999, Iron River, MI); Aspirus Ironwood Hospital & Clinics Inc. (NPI 1073293999, Iron River, MI); Aspirus Medical Group, Inc. (NPI 1033411822, Wausau, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 3, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1013652080) · Data from the CMS NPPES public registry.