KARINA JANE MCGUIRE NP
NPI 1093459737
Nurse Practitioner - Family in Bloomington, IN

Active since April 27, 2022PECOS Enrolled
550 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 330-3689 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 18, 2022, Sep 1, 2022, Apr 27, 2022 (3 updates tracked since 2022).

About Karina Jane Mcguire Np NPPES

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

KARINA JANE MCGUIRE NP (NPI 1093459737) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71012588A) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093459737
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARINA JANE MCGUIRECredential: NP
Location Address550 S LANDMARK AVEBloomington, IN 47403-3239
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Enumeration DateApril 27, 2022
Last NPPES UpdateOctober 18, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
NPI 1093459737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71012588A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28157350A (IN)
550 S LANDMARK AVE, Bloomington, IN 47403

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 (PECOS)

Karina Jane Mcguire Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.
149 services97 patients
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.
37 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Nurse Practitioner (Family)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Nurse Practitioner (Family)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Family Medicine (Adult Medicine)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Nurse Practitioner (Family)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Surgery (Vascular Surgery)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Internal Medicine (Pulmonary Disease)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Surgery
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Durable Medical Equipment & Medical Supplies
550 S LANDMARK AVE
BLOOMINGTON, IN 47403

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 Karina Mcguire's NPI number?

The NPI number for Karina Mcguire is 1093459737. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Where is Karina Mcguire located?

Karina Mcguire practices at 550 S Landmark Ave, Bloomington, IN 47403. The listed phone number is (812) 330-3689.

What is Karina Mcguire's specialty?

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

Is Karina Mcguire enrolled in Medicare?

Yes. Karina Mcguire is registered in the Medicare PECOS enrollment system.

What insurance does Karina Mcguire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Karina Mcguire 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.

When was this NPI record last updated?

The NPPES record for Karina Mcguire was last updated on October 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.