MRS. KAREN D CARROLL FNP
NPI 1063907772
Nurse Practitioner - Primary Care in Jbsa Lackland, TX

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236(210) 292-7411 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2026, Feb 6, 2026, Nov 28, 2025 and 4 more (7 updates tracked since 2018).

About Mrs. Karen D Carroll Fnp NPPES

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

MRS. KAREN D CARROLL FNP (NPI 1063907772) is an individual primary care provider in Jbsa Lackland, Texas, licensed in Texas (AP138568) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063907772
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. KAREN D CARROLLCredential: FNP
Location Address1100 WILFORD HALL LOOP BLDG 4554Jbsa Lackland, TX 78236-5638
Mailing Address1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 25, 2018
Last NPPES UpdateMarch 12, 20267 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1063907772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in TX · AP138568
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License AP138568 (TX)
1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236

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

Mrs. Karen D Carroll Fnp 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 ID7618228511
PECOS Enrollment IDI20180914001712
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

3

Medicare enrollment records show Karen Carroll reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
8519 STATE HIGHWAY 151
San Antonio, TX 78245
  • Reassigned Medicare billing, Texas enrollment
  • 223 clinicians in this Medicare group
General Acute Care Hospital
1190 WAIANUENUE AVE
Hilo, HI 96720
  • Reassigned Medicare billing, Hawaii enrollment
  • 263 clinicians in this Medicare group
3,620 mi
Critical Access
1 KAMANI STREET
Pahala, HI 96777
  • Reassigned Medicare billing, Hawaii enrollment
  • 208 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78236 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Anesthesiology
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Marriage & Family Therapist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Internal Medicine
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Allergy & Immunology
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Pharmacist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Optometrist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

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 Carroll's NPI number?

The NPI number for Karen Carroll is 1063907772. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Karen Carroll located?

Karen Carroll practices at 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-7411.

What is Karen Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Karen Carroll enrolled in Medicare?

Yes. Karen Carroll 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 Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Carroll reassigns Medicare benefits to 3 organizations: Tmc Provider Group PLLC (San Antonio, TX), Hilo Benioff Medical Center (Hilo, HI) and Kau Hospital (Pahala, HI). 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 Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Carroll was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.