TAMMY RAE KARLS NP
NPI 1043933955
Nurse Practitioner in Fond Du Lac, WI

Active since September 26, 2022PECOS EnrolledAccepts Medicare Assignment
420 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-8495 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tammy Rae Karls Np NPPES

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

TAMMY RAE KARLS NP (NPI 1043933955) is an individual nurse practitioner in Fond Du Lac, Wisconsin, licensed in Wisconsin (13153-33) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043933955
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTAMMY RAE KARLSCredential: NP
Location Address420 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8495
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 25, 2022
NPI 1043933955 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 WI · 13153-33
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.

420 E DIVISION ST, Fond Du Lac, WI 54935

Other Names 1

Former Name (1)Tammy Smith

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

Tammy Rae Karls 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 ID5890161376
PECOS Enrollment IDI20221025002376
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 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.
73 services60 patients
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.
63 services61 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.
22 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Nurse Practitioner
420 E DIVISION ST
FOND DU LAC, WI 54935
Obstetrics & Gynecology
420 E DIVISION ST
FOND DU LAC, WI 54935
Urology
420 E DIVISION ST
FOND DU LAC, WI 54935
Psychologist
420 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner (Psychiatric/Mental Health)
420 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner
420 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
420 E DIVISION ST
FOND DU LAC, WI 54935
Urology
420 E DIVISION ST
FOND DU LAC, WI 54935

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 Tammy Karls's NPI number?

The NPI number for Tammy Karls is 1043933955. It was assigned to this individual provider in the NPPES registry on September 26, 2022. The provider is also known as Tammy Smith.

Where is Tammy Karls located?

Tammy Karls practices at 420 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-8495.

What is Tammy Karls's specialty?

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

Is Tammy Karls enrolled in Medicare?

Yes. Tammy Karls 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.

When was this NPI record last updated?

The NPPES record for Tammy Karls was last updated on September 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.