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

Q: 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.

Q: What is Karina Mcguire's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karina Mcguire was last updated on October 18, 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.

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: November 01, 2026.

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

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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

Phone(812) 330-3689

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Karina Mcguire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Indiana University Health Southern Indiana Physicians, LLC

6.7 mi

Multi-Specialty

2651 E DISCOVERY PKWY
Bloomington, IN 47408

Reassigned Medicare billing, Indiana enrollment
783 clinicians in this Medicare group

NPI 1013953983 (812) 353-5252

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

RUANA CRONIN NP

Nurse Practitioner (Family)