KAREN LYNN MACDONALD NP
NPI 1013652080
Nurse Practitioner - Family in Laurium, MI

Active since May 03, 2022PECOS EnrolledAccepts Medicare Assignment
84.55/100
CMS Quality Rating
205 OSCEOLA ST, LAURIUM, MI 49913(906) 337-6500 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1013652080
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN LYNN MACDONALDCredential: NP
Location Address205 OSCEOLA STLaurium, MI 49913-2134
Mailing Address24923 Chestnut StCalumet, MI 49913-1041 · (906) 369-1112
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 3, 2022
NPPES CertifiedApril 16, 2022
NPI 1013652080 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 MI · 4704300917
205 OSCEOLA ST, Laurium, MI 49913

Other Names 1

Former Name (1)Karen Lynn Loukus Rn

Accepted Insurance

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

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.

PECOS PAC ID5890177695
PECOS Enrollment IDI20220804003867
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.

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, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231319
Location205 OsceolaLaurium, MI 49913 · Houghton County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.81
Promoting Interoperability100
Improvement Activities40
Cost53.8

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.

Physician Assistant
205 OSCEOLA ST
LAURIUM, MI 49913
Radiology (Diagnostic Radiology)
205 OSCEOLA ST
LAURIUM, MI 49913
Obstetrics & Gynecology (Reproductive Endocrinology)
205 OSCEOLA ST
LAURIUM, MI 49913
Nurse Anesthetist, Certified Registered
205 OSCEOLA ST
LAURIUM, MI 49913
Dermatology
205 OSCEOLA ST
LAURIUM, MI 49913
Internal Medicine (Sleep Medicine)
205 OSCEOLA ST
LAURIUM, MI 49913
Dietitian, Registered
205 OSCEOLA ST
LAURIUM, MI 49913
Family Medicine
205 OSCEOLA ST
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.

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 with the weekly NPPES data releases published by CMS.