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KAREN LOOS CRNP
NPI 1063977973
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since February 05, 2019PECOS EnrolledAccepts Medicare Assignment
1015 CHESTNUT ST, PHILADELPHIA, PA 19107(215) 955-4730 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2019, Feb 5, 2019 (2 updates tracked since 2019).

About Karen Loos Crnp NPPES

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

KAREN LOOS CRNP (NPI 1063977973) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP017948) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1063977973
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKAREN LOOSCredential: CRNP
Location Address1015 CHESTNUT STPhiladelphia, PA 19107-4316
Mailing Address208 Hillsboro Mills LnWallingford, PA 19086-6784 · (513) 913-4321 · Fax (484) 487-3930
Phone(215) 955-4730
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 5, 2019
Last NPPES UpdateJune 20, 20192 updates tracked since enumeration
✔ NPI 1063977973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP017948
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License SP017948 (PA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License SP017948 (PA)
1015 CHESTNUT ST, Philadelphia, PA 19107
Open in Google Maps ↗

Secondary Practice Location 1

Location 13 Crescent Dr Fl 2Philadelphia, PA 19112-1016 · Phone (215) 503-7084 · Fax (215) 503-3191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Loos Crnp 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 ID1254667157
PECOS Enrollment IDI20190731000451
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.

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.
24 services24 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.
12 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

VINCENZO R. SANGUINETI MD PC
Clinic/Center (Adult Mental Health)
1015 CHESTNUT ST, SUITE 825
PHILADELPHIA, PA 19107
Philadelphia County (215) 592-8641
DR. DONNA D CARSTENS M.D.
Internal Medicine (Pulmonary Disease)
1015 CHESTNUT ST, SUITE 1300
PHILADELPHIA, PA 19107
Philadelphia County (215) 923-7685
DR. PHYLLIS R. FLOMENBERG M.D.
Internal Medicine (Infectious Disease)
1015 CHESTNUT ST, SUITE 1020
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7785
VINCENZO R SANGUINETI MD PC
Psychiatry & Neurology (Psychiatry)
1015 CHESTNUT ST, JEFFERSON BUILDING, SUITE 825
PHILADELPHIA, PA 19107
Philadelphia County (215) 592-8641
FRANKLIN GEORGE MALESON M.D.
Psychiatry & Neurology (Psychiatry)
1015 CHESTNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 925-0543
TODAY'S WOMAN GLOBAL HEALTH LLC
Obstetrics & Gynecology (Gynecology)
1015 CHESTNUT ST, SUITE 1506
PHILADELPHIA, PA 19107
Philadelphia County (267) 979-8400
DR. JOHN R COHN M.D.
Allergy & Immunology
1015 CHESTNUT ST, SUITE 1300
PHILADELPHIA, PA 19107
Philadelphia County (215) 923-7685
ROBYN L. ALEXANDER P.A.
Physician Assistant
1015 CHESTNUT ST, SUITE 313
PHILADELPHIA, PA 19107
Philadelphia County (215) 923-4003

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 Loos's NPI number?

The NPI number for Karen Loos is 1063977973. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Where is Karen Loos located?

Karen Loos practices at 1015 Chestnut St, Philadelphia, PA 19107. The listed phone number is (215) 955-4730.

What is Karen Loos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Karen Loos enrolled in Medicare?

Yes. Karen Loos 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 Loos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Karen Loos 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 Loos affiliated with any hospitals?

According to CMS data, Karen Loos is affiliated with Jefferson Health- Northeast, Thomas Jefferson University Hospital and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Karen Loos was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.