CARLA K. ATHEN FNP-C
NPI 1134501695
Nurse Practitioner - Family in Springfield, MO

Active since June 22, 2015PECOS EnrolledAccepts Medicare Assignment
3231 S NATIONAL AVE, SUITE 300, SPRINGFIELD, MO 65807(417) 841-0285(417) 841-0286 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carla K. Athen Fnp-c NPPES

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

CARLA K. ATHEN FNP-C (NPI 1134501695) is an individual family provider in Springfield, Missouri, licensed in Missouri (2015019756) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1134501695
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLA K. ATHENCredential: FNP-C
Location Address3231 S NATIONAL AVE, SUITE 300Springfield, MO 65807-7304
Mailing AddressPo Box 505164Saint Louis, MO 63150-5164 · (417) 829-4620 · Fax (417) 829-4316
Fax(417) 841-0286
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 22, 2015
Last NPPES UpdateOctober 15, 2015
NPI 1134501695 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
License Licensed in MO · 2015019756
3231 S NATIONAL AVE, Springfield, MO 65807

Other Identifiers 2

Medicaid1134501695MO
Medicare PIN132680701MO

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

Carla K. Athen Fnp-c 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 ID6002121670
PECOS Enrollment IDI20150812007525
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 6

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 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.
167 services117 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.
71 services63 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.
27 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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

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
1 supplier11 claims11 services$91.43 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 20

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

Internal Medicine (Pulmonary Disease)
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Family Medicine
3231 S NATIONAL AVE, SUITE 280
SPRINGFIELD, MO 65807
Family Medicine
3231 S NATIONAL AVE, SUITE 220
SPRINGFIELD, MO 65807
Podiatrist
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Dietitian, Registered
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Podiatrist
3231 S NATIONAL AVE, SUITE 160
SPRINGFIELD, MO 65807
Family Medicine
3231 S NATIONAL AVE, STE 115
SPRINGFIELD, MO 65807
Pharmacist
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807

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 Carla Athen's NPI number?

The NPI number for Carla Athen is 1134501695. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Carla Athen located?

Carla Athen practices at 3231 S National Ave Suite 300, Springfield, MO 65807. The listed phone number is (417) 841-0285.

What is Carla Athen's specialty?

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

Is Carla Athen enrolled in Medicare?

Yes. Carla Athen 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 Carla Athen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Carla Athen 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 Carla Athen affiliated with any hospitals?

According to CMS data, Carla Athen is affiliated with Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Carla Athen was last updated on October 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.