DR. KAREN M NELSON M.D.
NPI 1043352677
Obstetrics & Gynecology in Tacoma, WA

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
314 MARTIN LUTHER KING JR WAY, SUITE 400, TACOMA, WA 98405(253) 627-0666 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Karen M Nelson M.d. NPPES

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

DR. KAREN M NELSON M.D. (NPI 1043352677) is an individual obstetrics & gynecology provider in Tacoma, Washington, licensed in Washington (MD00034306) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1043352677
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KAREN M NELSONCredential: M.D.
Location Address314 MARTIN LUTHER KING JR WAY, SUITE 400Tacoma, WA 98405-4250
Mailing Address314 Martin Luther King Jr Way, Suite 400Tacoma, WA 98405-4250 · (253) 627-0666
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateFebruary 12, 2007
Last NPPES UpdateNovember 27, 2012
✔ NPI 1043352677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WA · MD00034306
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
314 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

Other Identifiers 9

Other0300382WA · State L&i
Medicare UPING42271
Medicare PING8908301WA
Medicaid1103225WA
Medicare PING8912368WA
Other9109039WA · Cigna
OtherP07115WA · Regence Blue Shield
Medicare ID-Type UnspecifiedAB06710WA
Other0291724WA · State L&i

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

Dr. Karen M Nelson M.d. 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 ID4587853072
PECOS Enrollment IDI20171229000861
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 Reassignments

2

Medicare enrollment records show Karen Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
Rural Health
801 E ORANGE ST
Hoopeston, IL 60942
  • Reassigned Medicare billing, Illinois enrollment
  • 488 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.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Obstetrics & Gynecology
314 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Physician Assistant (Surgical)
314 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Urology
314 MARTIN LUTHER KING JR WAY, SUITE 103
TACOMA, WA 98405
Pediatrics (Pediatric Cardiology)
314 MARTIN LUTHER KING JR WAY, STE. 303
TACOMA, WA 98405
Nurse Practitioner (Women's Health)
314 MARTIN LUTHER KING JR WAY, STE 104
TACOMA, WA 98405
Anesthesiology
314 MARTIN LUTHER KING JR WAY, SUITE 300
TACOMA, WA 98405
Thoracic Surgery (Cardiothoracic Vascular Surgery)
314 MARTIN LUTHER KING JR WAY, #202
TACOMA, WA 98405
Obstetrics & Gynecology
314 MARTIN LUTHER KING JR WAY, STE 400
TACOMA, WA 98405

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 Nelson's NPI number?

The NPI number for Karen Nelson is 1043352677. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Karen Nelson located?

Karen Nelson practices at 314 Martin Luther King Jr Way Suite 400, Tacoma, WA 98405. The listed phone number is (253) 627-0666.

What is Karen Nelson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Karen Nelson enrolled in Medicare?

Yes. Karen Nelson 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 Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Nelson reassigns Medicare benefits to 2 organizations: Carle Health Medical Group (Urbana, IL) and Hoopeston Community Memorial Hospital (Hoopeston, IL). 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 Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Karen Nelson affiliated with any hospitals?

According to CMS data, Karen Nelson is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Karen Nelson was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.