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MRS. KAREY HARTFORD F.N.P.
NPI 1043239932
Nurse Practitioner in Shelby Township, MI

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
82.67/100
CMS Quality Rating
49310 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317(586) 731-8900(586) 726-5439 Get Directions Write a Review

NPPES record last updated: August 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Karey Hartford F.n.p. NPPES

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

MRS. KAREY HARTFORD F.N.P. (NPI 1043239932) is an individual nurse practitioner in Shelby Township, Michigan, licensed in Michigan (4704223976) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Mclaren Port Huron, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1043239932
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KAREY HARTFORDCredential: F.N.P.
Location Address49310 VAN DYKE AVEShelby Township, MI 48317-1335
Mailing Address49310 Van Dyke AveShelby Township, MI 48317-1335 · (586) 731-8900 · Fax (586) 726-5439
Phone(586) 731-8900
Fax(586) 726-5439
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 24, 2007
✔ NPI 1043239932 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 MI · 4704223976
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.
49310 VAN DYKE AVE, Shelby Township, MI 48317
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN0E06280045
Medicaid4782497MI
Medicare UPINQ53459

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community.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

Mrs. Karey Hartford F.n.p. 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 ID1355367780
PECOS Enrollment IDI20051014000785
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 7

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.
120 services69 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
30 services30 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
22 services16 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
18 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48317 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

82.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.95
Promoting Interoperability68
Improvement Activities40
Cost79.97

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%103 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
28%85 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
52%101 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%118 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
99%127 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
9%43 patients1/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
22%54 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$184.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

DR. JAMES C MARTIN DO
Family Medicine
49310 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Macomb County (586) 731-8900
DR. PAUL EHARDT M.D.
Family Medicine
49310 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Macomb County (586) 731-8900
CHAD ROBERT STENCEL M.D.
Family Medicine
49310 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Macomb County (586) 731-8900
JESSICA ELIZABETH FINNERTY DO
Family Medicine
49310 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Macomb County (586) 731-8900
DR. GARY STENCEL M.D.
Family Medicine
49310 VAN DYKE AVE
UTICA, MI 48317
Macomb County (586) 731-8900
MRS. SUSAN CURTIS PA-C
Physician Assistant (Medical)
49310 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Macomb County (586) 731-8900
DR. SHEETAL VARDE D.O.
Family Medicine
49310 VAN DYKE AVE
SHELBY TWP, MI 48317
Macomb County (586) 731-8900

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 Karey Hartford's NPI number?

The NPI number for Karey Hartford is 1043239932. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Karey Hartford located?

Karey Hartford practices at 49310 Van Dyke Ave, Shelby Township, MI 48317. The listed phone number is (586) 731-8900.

What is Karey Hartford's specialty?

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

Is Karey Hartford enrolled in Medicare?

Yes. Karey Hartford 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 Karey Hartford accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community list Karey Hartford 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 Karey Hartford affiliated with any hospitals?

According to CMS data, Karey Hartford is affiliated with Mclaren Port Huron.

When was this NPI record last updated?

The NPPES record for Karey Hartford was last updated on August 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.