KAREN ANNETTE CHALFIN CNP
NPI 1043608086
Nurse Practitioner - Acute Care in Cincinnati, OH

Active since December 29, 2014PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
200 ALBERT SABIN WAY, 3RD FLOOR, CINCINNATI, OH 45219(513) 475-7500 Get Directions Write a Review

NPPES record last updated: December 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen Annette Chalfin Cnp NPPES

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

KAREN ANNETTE CHALFIN CNP (NPI 1043608086) is an individual acute care provider in Cincinnati, Ohio, licensed in Ohio (COA.16646-NP) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with West Chester Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2014).

NPPES Registry Identity

NPI1043608086
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKAREN ANNETTE CHALFINCredential: CNP
Location Address200 ALBERT SABIN WAY, 3RD FLOORCincinnati, OH 45219
Mailing Address200 Albert Sabin Way, 3rd FloorCincinnati, OH 45219 · (513) 475-7500
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2014
Enumeration DateDecember 29, 2014
Last NPPES UpdateDecember 31, 2015
NPI 1043608086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in OH · COA.16646-NP
200 ALBERT SABIN WAY, Cincinnati, OH 45219

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 Annette Chalfin Cnp 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 ID4587989611
PECOS Enrollment IDI20150213000256, I20160919002051
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 3

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.
372 services334 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.
49 services36 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Referred Medical Equipment & Supplies CMS DME claims 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
17 suppliers655 claims655 services$29.78 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers202 claims202 services$73.87 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers185 claims526 services$28.02 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers218 claims1,276 services$14.19 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
11 suppliers331 claims1,945 services$12.37 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers592 claims592 services$45.19 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

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

Plastic Surgery
200 ALBERT SABIN WAY, ML: 0461
CINCINNATI, OH 45219

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 Chalfin's NPI number?

The NPI number for Karen Chalfin is 1043608086. It was assigned to this individual provider in the NPPES registry on December 29, 2014.

Where is Karen Chalfin located?

Karen Chalfin practices at 200 Albert Sabin Way 3rd Floor, Cincinnati, OH 45219. The listed phone number is (513) 475-7500.

What is Karen Chalfin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Karen Chalfin enrolled in Medicare?

Yes. Karen Chalfin 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 Chalfin accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance list Karen Chalfin 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 Chalfin affiliated with any hospitals?

According to CMS data, Karen Chalfin is affiliated with West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Karen Chalfin was last updated on December 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.