KAREN A KARALUNAS-FISHER NP
NPI 1043249873
Nurse Practitioner - Adult Health in Cape Girardeau, MO

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
92.57/100
CMS Quality Rating
3250 GORDONVILLE RD STE 358, CAPE GIRARDEAU, MO 63703(573) 331-3155(573) 331-5096 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen A Karalunas-fisher Np NPPES

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

KAREN A KARALUNAS-FISHER NP (NPI 1043249873) is an individual adult health provider in Cape Girardeau, Missouri, licensed in Missouri (135376) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Missouri Delta Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1043249873
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKAREN A KARALUNAS-FISHERCredential: NP
Location Address3250 GORDONVILLE RD STE 358Cape Girardeau, MO 63703-5095
Mailing AddressPo Box 801143Kansas City, MO 64180-1143 · (573) 331-3000 · Fax (573) 331-5073
Fax(573) 331-5096
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 2, 2006
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
NPI 1043249873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MO · 135376
3250 GORDONVILLE RD STE 358, Cape Girardeau, MO 63703

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 A Karalunas-fisher 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 ID1254235039
PECOS Enrollment IDI20031124000056
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 4

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.
97 services82 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.
75 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260113
Location1008 North Main StSikeston, MO 63801 · Scott County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Mercy Hospital Perry

Critical Access Hospitals · Perryville, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number261311
Location434 North West StreetPerryville, MO 63775 · Perry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

92.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.03
Promoting Interoperability88
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers13 claims55 services$2.73 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
5 suppliers31 claims31 services$47.86 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 5

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
3250 GORDONVILLE RD STE 358
CAPE GIRARDEAU, MO 63703
Nurse Practitioner (Family)
3250 GORDONVILLE RD STE 358
CAPE GIRARDEAU, MO 63703
Physician Assistant
3250 GORDONVILLE RD STE 358
CAPE GIRARDEAU, MO 63703
Physician Assistant
3250 GORDONVILLE RD STE 358
CAPE GIRARDEAU, MO 63703
Surgery (Vascular Surgery)
3250 GORDONVILLE RD STE 358
CAPE GIRARDEAU, MO 63703

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 Karalunas-fisher's NPI number?

The NPI number for Karen Karalunas-fisher is 1043249873. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Karen Karalunas-fisher located?

Karen Karalunas-fisher practices at 3250 Gordonville Rd Ste 358, Cape Girardeau, MO 63703. The listed phone number is (573) 331-3155.

What is Karen Karalunas-fisher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Karen Karalunas-fisher enrolled in Medicare?

Yes. Karen Karalunas-fisher 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 Karalunas-fisher accept?

Health plans from UnitedHealthcare list Karen Karalunas-fisher 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 Karalunas-fisher affiliated with any hospitals?

According to CMS data, Karen Karalunas-fisher is affiliated with Missouri Delta Medical Center, Saint Francis Medical Center and Mercy Hospital Perry.

When was this NPI record last updated?

The NPPES record for Karen Karalunas-fisher was last updated on March 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.