KAREN ANN DUGUAY FNP-BC
NPI 1114535267
Nurse Practitioner - Family in Boston, MA

Active since July 15, 2020PECOS EnrolledAccepts Medicare Assignment
801 MASSACHUSETTS AVENUE, CROSSTOWN 2, BOSTON, MA 02118(617) 414-7399(617) 414-4676 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2024, May 14, 2021, Jul 15, 2020 (3 updates tracked since 2020).

About Karen Ann Duguay Fnp-bc NPPES

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

KAREN ANN DUGUAY FNP-BC (NPI 1114535267) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN2266759) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114535267
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN ANN DUGUAYCredential: FNP-BC
Location Address801 MASSACHUSETTS AVENUE, CROSSTOWN 2Boston, MA 02118
Mailing Address960 Massachusetts Ave, Fl 2Boston, MA 02118-2690
Fax(617) 414-4676
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 15, 2020
Last NPPES UpdateJune 14, 20243 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
NPI 1114535267 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 MA · RN2266759
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2266759 (MA)
801 MASSACHUSETTS AVENUE, Boston, MA 02118

Other Identifiers 2

Medicaid3144272NH
Medicaid110163518AMA

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 Ann Duguay Fnp-bc 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 ID2961807417
PECOS Enrollment IDI20210820001196
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 5

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
109 services68 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
51 services38 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
32 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services16 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
18 services16 patients

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Internal Medicine
801 MASSACHUSETTS AVENUE, CROSSTOWN 2
BOSTON, MA 02118
Internal Medicine
801 MASSACHUSETTS AVENUE, CROSSTOWN 2
BOSTON, MA 02118
Nurse Practitioner (Gerontology)
801 MASSACHUSETTS AVENUE, CROSSTOWN BLDG SUITE 6C
BOSTON, MA 02118
Nurse Practitioner (Acute Care)
801 MASSACHUSETTS AVENUE, CROSSTOWN 2
BOSTON, MA 02118
Internal Medicine
801 MASSACHUSETTS AVENUE, CROSSTOWN 2
BOSTON, MA 02118
Internal Medicine
801 MASSACHUSETTS AVENUE, CROSSTOWN 2
BOSTON, MA 02118
Internal Medicine
801 MASSACHUSETTS AVENUE, CROSSTOWN 2
BOSTON, MA 02118
Internal Medicine
801 MASSACHUSETTS AVENUE, CROSSTOWN 2
BOSTON, MA 02118

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 Duguay's NPI number?

The NPI number for Karen Duguay is 1114535267. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Where is Karen Duguay located?

Karen Duguay practices at 801 Massachusetts Avenue Crosstown 2, Boston, MA 02118. The listed phone number is (617) 414-7399.

What is Karen Duguay's specialty?

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

Is Karen Duguay enrolled in Medicare?

Yes. Karen Duguay 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 Duguay accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Duguay 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 Duguay affiliated with any hospitals?

According to CMS data, Karen Duguay is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Duguay was last updated on June 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.