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KAREN E SCHETZINA MD
NPI 1104814987
Pediatrics in Johnson City, TN

Active since October 06, 2005PECOS Enrolled
325 N STATE OF FRANKLIN RD, GROUND FLOOR, JOHNSON CITY, TN 37604(423) 439-7320(423) 439-7343 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karen E Schetzina Md NPPES

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

KAREN E SCHETZINA MD (NPI 1104814987) is an individual pediatrics provider in Johnson City, Tennessee, licensed in Tennessee (MD37693) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104814987
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKAREN E SCHETZINACredential: MD
Location Address325 N STATE OF FRANKLIN RD, GROUND FLOORJohnson City, TN 37604-6062
Mailing AddressPo Box 699Mountain Home, TN 37684-0699 · (423) 439-7320 · Fax (423) 439-7343
Phone(423) 439-7320
Fax(423) 439-7343
Sole ProprietorNo
Enumeration DateOctober 6, 2005
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1104814987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · MD37693
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
325 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Other Identifiers 1

Medicaid1508852TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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)

Karen E Schetzina Md 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 Karen Schetzina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Education Assistance Corporation
2.6 mi
Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
NPI 1235180480 (423) 433-6039

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

SAMANTHA BOOKBINDER MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (845) 269-1362
DEBORAH ANN THIBEAULT LCSW
Social Worker (Clinical)
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
LEAH ALEXANDRA SURBAUGH PHARMD
Pharmacist (Psychiatric)
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7280
VARSHINI NARMADA RAMASAMY BALASUBRAMANIAN MBBS
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
HASAN DAHER MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7280
ANGELA G WILLOCKS NP
Nurse Practitioner (Family)
325 N STATE OF FRANKLIN RD, GROUND FLOOR
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
JOHN WILLIAM SCHWEITZER M.D.
Pediatrics
325 N STATE OF FRANKLIN RD, GROUND FLOOR
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
MICHAEL AGOSTINO DO
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7320

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 Schetzina's NPI number?

The NPI number for Karen Schetzina is 1104814987. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Karen Schetzina located?

Karen Schetzina practices at 325 N State Of Franklin Rd Ground Floor, Johnson City, TN 37604. The listed phone number is (423) 439-7320.

What is Karen Schetzina's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Karen Schetzina enrolled in Medicare?

Yes. Karen Schetzina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Schetzina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Schetzina reassigns Medicare benefits to Medical Education Assistance Corporation (Johnson City, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Schetzina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Schetzina accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Karen Schetzina 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 Karen Schetzina was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.