KARYN N MCGUIRE APRN
NPI 1033667159
Nurse Practitioner - Family in Lexington, KY

Q: What is Karyn Mcguire's NPI number?

The NPI number for Karyn Mcguire is 1033667159. It was assigned to this individual provider in the NPPES registry on September 18, 2016. The provider is also known as Karyn Cowan.

Q: What is Karyn Mcguire'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 Karyn Mcguire was last updated on August 16, 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.

Active since September 18, 2016PECOS Enrolled

95.5/100

CMS Quality Rating

207 E REYNOLDS RD STE 150, LEXINGTON, KY 40517(859) 309-0234 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2022, Jul 3, 2019, Jun 21, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Karyn N Mcguire Aprn NPPES

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

KARYN N MCGUIRE APRN (NPI 1033667159) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3010430) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033667159

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKARYN N MCGUIRECredential: APRN

Location Address207 E REYNOLDS RD STE 150Lexington, KY 40517-1276

Mailing Address207 E Reynolds Rd Ste 150Lexington, KY 40517-1276 · (859) 309-0234 · Fax (606) 309-0234

Phone(859) 309-0234

Sole ProprietorNo

Enumeration DateSeptember 18, 2016

Last NPPES UpdateAugust 16, 20224 updates tracked since enumeration

NPPES CertifiedAugust 16, 2022

✔ NPI 1033667159 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 KY · 3010430

207 E REYNOLDS RD STE 150, Lexington, KY 40517

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Other Names 1

Former Name (1)Karyn Cowan

Secondary Practice Locations 2

Location 1478 Whirlaway DrDanville, KY 40422 · Phone (859) 236-6613 · Fax (859) 236-2284

Location 2535 Wellington Way Ste 330Lexington, KY 40503-1331 · Phone (859) 439-0400

Other Identifiers 1

Medicaid7100542640KY

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karyn N Mcguire Aprn 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 Reassignment

Medicare enrollment records show Karyn Mcguire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc

1.5 mi

Nurse Practitioner

4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
Also billed through NPI 1255805586 (Kentucky)
999 clinicians in this Medicare group

NPI 1518360296 (859) 260-4390

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

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40517 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

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 Karyn Mcguire's NPI number?

The NPI number for Karyn Mcguire is 1033667159. It was assigned to this individual provider in the NPPES registry on September 18, 2016. The provider is also known as Karyn Cowan.

Where is Karyn Mcguire located?

Karyn Mcguire practices at 207 E Reynolds Rd Ste 150, Lexington, KY 40517. The listed phone number is (859) 309-0234.

What is Karyn Mcguire's specialty?

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

Is Karyn Mcguire enrolled in Medicare?

Yes. Karyn Mcguire is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karyn Mcguire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karyn Mcguire reassigns Medicare benefits to Baptist Health Medical Group Inc (Lexington, KY). The 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 Karyn Mcguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karyn Mcguire accept?

Health plans from CareSource list Karyn Mcguire 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 Karyn Mcguire was last updated on August 16, 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.