KAREN MCDANIEL ARNP
NPI 1144278631
Nurse Practitioner - Family in Middlesboro, KY

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
3004 CUMBERLAND AVE, MEDICAL ARTS BUILDING, MIDDLESBORO, KY 40965(606) 248-4162(606) 242-3429 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karen Mcdaniel Arnp NPPES

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

KAREN MCDANIEL ARNP (NPI 1144278631) is an individual family provider in Middlesboro, Kentucky, licensed in Kentucky (4961P) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1144278631
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN MCDANIELCredential: ARNP
Location Address3004 CUMBERLAND AVE, MEDICAL ARTS BUILDINGMiddlesboro, KY 40965-2343
Mailing Address3004 Cumberland Ave, Medical Arts BuildingMiddlesboro, KY 40965-2343 · (606) 248-4162 · Fax (606) 242-3429
Fax(606) 242-3429
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 5, 2006
Last NPPES UpdateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
NPI 1144278631 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 KY · 4961P
3004 CUMBERLAND AVE, Middlesboro, KY 40965

Other Identifiers 1

Medicaid78017993KY

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 Mcdaniel Arnp 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 ID4880674100
PECOS Enrollment IDI20070809000416
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.

Hospital Affiliations CMS Care Compare 2

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

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Pineville Community Health Center, Inc

Acute Care Hospitals · Pineville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180154
Location850 Riverview AvenuePineville, KY 40977 · Bell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 14

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
5 suppliers17 claims54 services$6.72 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers16 claims31 services$1.87 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers14 claims20 services$42.77 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers22 claims65 services$3.07 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier20 claims20 services$72.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers28 claims28 services$18.90 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 3

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

Internal Medicine
3004 CUMBERLAND AVE, MEDICAL ARTS BLDG
MIDDLESBORO, KY 40965
Nurse Practitioner (Family)
3004 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Surgery
3004 CUMBERLAND AVE
MIDDLESBORO, KY 40965

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 Mcdaniel's NPI number?

The NPI number for Karen Mcdaniel is 1144278631. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Karen Mcdaniel located?

Karen Mcdaniel practices at 3004 Cumberland Ave Medical Arts Building, Middlesboro, KY 40965. The listed phone number is (606) 248-4162.

What is Karen Mcdaniel's specialty?

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

Is Karen Mcdaniel enrolled in Medicare?

Yes. Karen Mcdaniel 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 Mcdaniel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Karen Mcdaniel 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 Mcdaniel affiliated with any hospitals?

According to CMS data, Karen Mcdaniel is affiliated with Middlesboro Arh Hospital and Pineville Community Health Center, Inc.

When was this NPI record last updated?

The NPPES record for Karen Mcdaniel was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.