KAREN SUE CLARKSON FNP
NPI 1114475456
Nurse Practitioner - Family in Richmond, VA

Active since September 15, 2016PECOS EnrolledAccepts Medicare Assignment
3900 HULL STREET RD, RICHMOND, VA 23224(804) 292-7620 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2024, Mar 8, 2024, May 26, 2020 and 1 more (4 updates tracked since 2016).

About Karen Sue Clarkson Fnp NPPES

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

KAREN SUE CLARKSON FNP (NPI 1114475456) is an individual family provider in Richmond, Virginia, licensed in Virginia (0024190593) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1114475456
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN SUE CLARKSONCredential: FNP
Location Address3900 HULL STREET RDRichmond, VA 23224-1714
Mailing AddressPo Box 746871Atlanta, GA 30374-6871 · (469) 727-6675
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 15, 2016
Last NPPES UpdateOctober 28, 20244 updates tracked since enumeration
NPPES CertifiedOctober 28, 2024
NPI 1114475456 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
Licenses Licensed in VA · 0024190593 Licensed in TN · 64630
3900 HULL STREET RD, Richmond, VA 23224

Other Names 1

Former Name (1)Karen Sue Melton

Secondary Practice Locations 3

Location 11800A Frederick BlvdPortsmouth, VA 23707-4618 · Phone (757) 337-6000
Location 25246 Chamberlayne RdRichmond, VA 23227-2950 · Phone (804) 913-7029
Location 3150 Duncan RdBuckeye, WV 24924-9037 · Phone (304) 799-7400 · Fax (304) 799-2276

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

Karen Sue Clarkson Fnp 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 ID3577723733
PECOS Enrollment IDI20241111003851
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

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23224 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers19 claims56 services$6.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers19 claims22 services$1.03 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$24.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
3900 HULL STREET RD
RICHMOND, VA 23224
Nurse Practitioner
3900 HULL STREET RD
RICHMOND, VA 23224
Clinic/Center (Primary Care)
3900 HULL STREET RD
RICHMOND, VA 23224
Internal Medicine
3900 HULL STREET RD
RICHMOND, VA 23224

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 Clarkson's NPI number?

The NPI number for Karen Clarkson is 1114475456. It was assigned to this individual provider in the NPPES registry on September 15, 2016. The provider is also known as Karen Sue Melton.

Where is Karen Clarkson located?

Karen Clarkson practices at 3900 Hull Street Rd, Richmond, VA 23224. The listed phone number is (804) 292-7620.

What is Karen Clarkson's specialty?

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

Is Karen Clarkson enrolled in Medicare?

Yes. Karen Clarkson 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 Clarkson accept?

Health plans from CareSource list Karen Clarkson 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 Clarkson affiliated with any hospitals?

According to CMS data, Karen Clarkson is affiliated with Sentara Norfolk General Hospital, Bon Secours Maryview Medical Center, Sentara Obici Hospital and Sentara Leigh Hospital.

When was this NPI record last updated?

The NPPES record for Karen Clarkson was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.