MS. KAREN P ADDAIR FNP-BC
NPI 1053543025
Nurse Practitioner in Roderfield, WV

Active since August 10, 2009PECOS EnrolledAccepts Medicare Assignment
15237 COAL HERITAGE ROAD/US-52 NORTH, HONEYCAMP/247, RODERFIELD, WV 24881(304) 436-8323 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Karen P Addair Fnp-bc NPPES

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

MS. KAREN P ADDAIR FNP-BC (NPI 1053543025) is an individual nurse practitioner in Roderfield, West Virginia, licensed in West Virginia (42727) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1053543025
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KAREN P ADDAIRCredential: FNP-BC
Location Address15237 COAL HERITAGE ROAD/US-52 NORTH, HONEYCAMP/247Roderfield, WV 24881
Mailing AddressPo Box 219Premier, WV 24878-0219 · (304) 436-8323
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 10, 2009
Last NPPES UpdateOctober 7, 2016
NPI 1053543025 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 WV · 42727
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.
15237 COAL HERITAGE ROAD/US-52 NORTH, Roderfield, WV 24881

Other Identifiers 5

Medicare PINWV1342AWV
Medicare PIN2034442WV
Medicare PINNP31971WV
Medicaid3810019568WV
Medicare PIN2034441WV

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

Ms. Karen P Addair Fnp-bc 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 ID42356172
PECOS Enrollment IDI20091005000020
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.
152 services47 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.
73 services33 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Welch Community Hospital

Acute Care Hospitals · Welch, WV
OwnershipGovernment - State
CMS Certification Number510086
Location454 Mcdowell StreetWelch, WV 24801 · Mc Dowell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24881 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers18 claims39 services$4.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers17 claims22 services$0.87 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$19.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers44 claims44 services$113.44 avg. paid by Medicare
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$205.30 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.

Clinic/Center (Primary Care)
15237 COAL HERITAGE ROAD/US-52 NORTH, HONEYCAMP /247
RODERFIELD, WV 24881

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 Addair's NPI number?

The NPI number for Karen Addair is 1053543025. It was assigned to this individual provider in the NPPES registry on August 10, 2009.

Where is Karen Addair located?

Karen Addair practices at 15237 Coal Heritage Road/Us-52 North Honeycamp/247, Roderfield, WV 24881. The listed phone number is (304) 436-8323.

What is Karen Addair's specialty?

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

Is Karen Addair enrolled in Medicare?

Yes. Karen Addair 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 Addair accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Karen Addair 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 Addair affiliated with any hospitals?

According to CMS data, Karen Addair is affiliated with Princeton Community Hospital and Welch Community Hospital.

When was this NPI record last updated?

The NPPES record for Karen Addair was last updated on October 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.