HEATHER M KAREM APRN, FNP-C
NPI 1154931202
Nurse Practitioner - Family in Louisville, KY

Active since August 04, 2020PECOS Enrolled
73.19/100
CMS Quality Rating
529 S JACKSON ST, LOUISVILLE, KY 40202(502) 562-4673 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2021, Oct 2, 2020, Aug 4, 2020 (3 updates tracked since 2020).

About Heather M Karem Aprn, Fnp-c NPPES

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

HEATHER M KAREM APRN, FNP-C (NPI 1154931202) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3014939) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154931202
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER M KAREMCredential: APRN, FNP-C
Location Address529 S JACKSON STLouisville, KY 40202-3229
Mailing Address529 S Jackson StLouisville, KY 40202-3229 · (502) 562-4673
Sole ProprietorNo
Enumeration DateAugust 4, 2020
Last NPPES UpdateMarch 23, 20213 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
NPI 1154931202 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
Licenses Licensed in KY · 3014939 Licensed in KY · F06202521
529 S JACKSON ST, Louisville, KY 40202

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 (PECOS)

Heather M Karem Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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 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.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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.

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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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 (Hematology & Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Special Hospital
529 S JACKSON ST, # 127
LOUISVILLE, KY 40202
Pharmacist (Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Pharmacist (Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Social Worker (Clinical)
529 S JACKSON ST
LOUISVILLE, KY 40202
Obstetrics & Gynecology (Gynecologic Oncology)
529 S JACKSON ST, BROWN CANCER CENTER
LOUISVILLE, KY 40202
Radiology (Radiation Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Pharmacist (Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202

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 Heather Karem's NPI number?

The NPI number for Heather Karem is 1154931202. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Heather Karem located?

Heather Karem practices at 529 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 562-4673.

What is Heather Karem's specialty?

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

Is Heather Karem enrolled in Medicare?

Yes. Heather Karem is registered in the Medicare PECOS enrollment system.

What insurance does Heather Karem accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Heather Karem 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.

When was this NPI record last updated?

The NPPES record for Heather Karem was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.