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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAREN M KARLINSKI MD
NPI 1154362903
Family Medicine in South St Paul, MN

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
724 19TH AVE N, SOUTH ST PAUL, MN 55075(651) 232-6348(651) 232-6127 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karen M Karlinski Md NPPES

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

KAREN M KARLINSKI MD (NPI 1154362903) is an individual family medicine provider in South St Paul, Minnesota, licensed in Minnesota (36319) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of University Of Minnesota Medical School (1992).

NPPES Registry Identity

NPI1154362903
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN M KARLINSKICredential: MD
Location Address724 19TH AVE NSouth St Paul, MN 55075-1301
Mailing Address724 19th Ave NSouth St Paul, MN 55075-1301 · (651) 232-6348 · Fax (651) 232-6127
Phone(651) 232-6348
Fax(651) 232-6127
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1992
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1154362903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 36319
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
724 19TH AVE N, South St Paul, MN 55075
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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 M Karlinski Md 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 ID941242143
PECOS Enrollment IDI20050527000272
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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
145 services57 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
43 services39 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
31 services28 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
20 services12 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55075 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$37.20 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers62 claims62 services$15.26 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.

CERENITY SENIOR CARE
Skilled Nursing Facility
724 19TH AVE N
SOUTH ST PAUL, MN 55075
Dakota County (651) 232-6000
LYNNE ZIMMERMAN PT
Physical Therapist
724 19TH AVE N, # 100
SOUTH SAINT PAUL, MN 55075
Dakota County (651) 552-0288
SOLVEIG A HANSEN MD
Family Medicine
724 19TH AVE N
SOUTH ST PAUL, MN 55075
Dakota County (651) 232-6348

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 Karlinski's NPI number?

The NPI number for Karen Karlinski is 1154362903. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Karen Karlinski located?

Karen Karlinski practices at 724 19th Ave N, South St Paul, MN 55075. The listed phone number is (651) 232-6348.

What is Karen Karlinski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karen Karlinski enrolled in Medicare?

Yes. Karen Karlinski 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 Karlinski accept?

Health plans from Medica and Sanford Health Plan list Karen Karlinski 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 Karlinski affiliated with any hospitals?

According to CMS data, Karen Karlinski is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Karen Karlinski was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.