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KARLY TORRES
NPI 1114545779
Nurse Practitioner in Erie, PA

Active since July 10, 2020PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
300 STATE ST STE 103A, ERIE, PA 16507(814) 877-8540 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2024, Jun 15, 2021, May 26, 2021 and 1 more (4 updates tracked since 2020).

About Karly Torres NPPES

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

KARLY TORRES (NPI 1114545779) is an individual nurse practitioner in Erie, Pennsylvania, licensed in Pennsylvania (SP022173) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114545779
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKARLY TORRES
Location Address300 STATE ST STE 103AErie, PA 16507-1471
Mailing Address300 State St Ste 103aErie, PA 16507-1471 · (814) 877-8540
Phone(814) 877-8540
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 10, 2020
Last NPPES UpdateAugust 15, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
✔ NPI 1114545779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP022173
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
300 STATE ST STE 103A, Erie, PA 16507
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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

Karly Torres 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 ID4880019082
PECOS Enrollment IDI20200805001753
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.

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.
211 services170 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
82 services69 patients
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.
58 services55 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services43 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$89.82 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$34.91 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 8

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

BUSHRA RIZVI MD
Internal Medicine
300 STATE ST STE 103A, SUITE 103A
ERIE, PA 16507
Erie County (814) 877-8540
LUKE NIENTIMP DO
Internal Medicine
300 STATE ST STE 103A
ERIE, PA 16507
Erie County (814) 877-8540
THERESA M CARLUCCI CRNP
Nurse Practitioner (Family)
300 STATE ST STE 103A
ERIE, PA 16507
Erie County (814) 877-8540
ALEXINE J FROISSARD CRNP
Nurse Practitioner
300 STATE ST STE 103A
ERIE, PA 16507
Erie County (814) 877-8540
MRS. STEPHANIE MARIE UNGER CRNP
Nurse Practitioner
300 STATE ST STE 103A
ERIE, PA 16507
Erie County (814) 877-8540
MAGGIE BENSON
Internal Medicine
300 STATE ST STE 103A, SUITE 103A
ERIE, PA 16507
Erie County (814) 877-8540
LISA ENGLISH
Internal Medicine
300 STATE ST STE 103A, SUITE 103A
ERIE, PA 16507
Erie County (814) 877-8540
DAVID HUTZEL
Internal Medicine
300 STATE ST STE 103A, SUITE 103A
ERIE, PA 16507
Erie County (814) 454-6390

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 Karly Torres's NPI number?

The NPI number for Karly Torres is 1114545779. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Where is Karly Torres located?

Karly Torres practices at 300 State St Ste 103A, Erie, PA 16507. The listed phone number is (814) 877-8540.

What is Karly Torres's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karly Torres enrolled in Medicare?

Yes. Karly Torres 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.

Is Karly Torres affiliated with any hospitals?

According to CMS data, Karly Torres is affiliated with Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Karly Torres was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.