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MRS. KAREN MERKEL FNP-C
NPI 1093109340
Nurse Practitioner - Family in Austin, TX

Active since March 25, 2015PECOS EnrolledAccepts Medicare Assignment
5000 W SLAUGHTER LN, AUSTIN, TX 78749(512) 654-4000 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2022, Jan 13, 2022 (2 updates tracked since 2022).

About Mrs. Karen Merkel Fnp-c NPPES

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

MRS. KAREN MERKEL FNP-C (NPI 1093109340) is an individual family provider in Austin, Texas, licensed in Texas (AP127465) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Round Rock, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1093109340
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KAREN MERKELCredential: FNP-C
Location Address5000 W SLAUGHTER LNAustin, TX 78749-3997
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Phone(512) 654-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 25, 2015
Last NPPES UpdateJanuary 20, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1093109340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP127465
5000 W SLAUGHTER LN, Austin, TX 78749
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.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

Mrs. Karen Merkel Fnp-c 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 ID3173838588
PECOS Enrollment IDI20150813011969
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 9

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.
212 services178 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
136 services33 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
54 services46 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
49 services43 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
26 services12 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Austin

Acute Care Hospitals · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670136
Location5245 W Us 290Austin, TX 78735 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78749 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN IMMEDIATE CARE
Clinic/Center (Urgent Care)
5000 W SLAUGHTER LN, BLDG. 6, SUITE 100
AUSTIN, TX 78749
Travis County (512) 282-2273
MISS GUENEVERE DIANNE LINDGREN PA
Physician Assistant
5000 W SLAUGHTER LN
AUSTIN, TX 78749
Travis County (512) 654-4000
DR. DEIDRA ANN MCLANE D.D.S.
Dentist (General Practice)
5000 W SLAUGHTER LN, STE 200
AUSTIN, TX 78749
Travis County (512) 292-8002
ROBIN HADDEN PA
Physician Assistant (Medical)
5000 W SLAUGHTER LN, BLDG 6, STE 100
AUSTIN, TX 78749
Travis County (512) 282-2273
NOELLE SOLTERO
Physician Assistant
5000 W SLAUGHTER LN
AUSTIN, TX 78749
Travis County (512) 509-0200
DR. JAMES B MCLANE D.D.S.
Dentist (General Practice)
5000 W SLAUGHTER LN, STE 200
AUSTIN, TX 78749
Travis County (512) 292-8002
AUSTIN IMMEDIATE CARE, LLC
Clinic/Center (Emergency Care)
5000 W SLAUGHTER LN, BLDG. 6, SUITE 100
AUSTIN, TX 78749
Travis County (512) 282-2273
NEHA PALSULE
Physical Therapist
5000 W SLAUGHTER LN
AUSTIN, TX 78749
Travis County (512) 654-4000

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 Merkel's NPI number?

The NPI number for Karen Merkel is 1093109340. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Karen Merkel located?

Karen Merkel practices at 5000 W Slaughter Ln, Austin, TX 78749. The listed phone number is (512) 654-4000.

What is Karen Merkel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Merkel enrolled in Medicare?

Yes. Karen Merkel 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 Merkel accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Karen Merkel 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 Merkel affiliated with any hospitals?

According to CMS data, Karen Merkel is affiliated with Baylor Scott & White Medical Center - Round Rock and Baylor Scott & White Medical Center- Austin.

When was this NPI record last updated?

The NPPES record for Karen Merkel was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.