ELLEN KARWACKI NPP
NPI 1083604938
Nurse Practitioner - Psychiatric/Mental Health in Utica, NY

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
78.7/100
CMS Quality Rating
2209 GENESEE ST, UTICA, NY 13501(315) 734-3065(315) 734-3166 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Karwacki Npp NPPES

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

ELLEN KARWACKI NPP (NPI 1083604938) is an individual psychiatric/mental health provider in Utica, New York, licensed in New York (F400748-1) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1083604938
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELLEN KARWACKICredential: NPP
Location Address2209 GENESEE STUtica, NY 13501-5930
Mailing Address238 Oriskany BlvdWhitesboro, NY 13492-1540 · (315) 734-3065 · Fax (315) 734-3166
Fax(315) 734-3166
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 24, 2005
Last NPPES UpdateJuly 21, 2016
NPI 1083604938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · F400748-1
2209 GENESEE ST, Utica, NY 13501

Other Identifiers 3

Medicare PINDD6992NY
Medicare UPINP95764NY
Medicare PINRA0968NY

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

Ellen Karwacki Npp 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 ID4284628249
PECOS Enrollment IDI20040413000119
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
704 services89 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.
70 services32 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
40 services37 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
37 services33 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
35 services32 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
34 services33 patients

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13501 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

78.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.73
Promoting Interoperability99
Improvement Activities40
Cost42.38

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.

Speech-Language Pathologist
2209 GENESEE ST
UTICA, NY 13501
Anesthesiology
2209 GENESEE ST
UTICA, NY 13501
Rehabilitation Practitioner
2209 GENESEE ST
UTICA, NY 13501
Radiology (Diagnostic Radiology)
2209 GENESEE ST
UTICA, NY 13501
Social Worker
2209 GENESEE ST
UTICA, NY 13501
Social Worker
2209 GENESEE ST
UTICA, NY 13501
Internal Medicine
2209 GENESEE ST
UTICA, NY 13501
Anesthesiology
2209 GENESEE ST
UTICA, NY 13501

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 Ellen Karwacki's NPI number?

The NPI number for Ellen Karwacki is 1083604938. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Ellen Karwacki located?

Ellen Karwacki practices at 2209 Genesee St, Utica, NY 13501. The listed phone number is (315) 734-3065.

What is Ellen Karwacki's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ellen Karwacki enrolled in Medicare?

Yes. Ellen Karwacki 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 Ellen Karwacki accept?

Health plans from Providence Health Plan list Ellen Karwacki 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 Ellen Karwacki affiliated with any hospitals?

According to CMS data, Ellen Karwacki is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Ellen Karwacki was last updated on July 21, 2016. 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.