KAREN L TAYLOR F.N.P.
NPI 1164701504
Nurse Practitioner - Family in Conroe, TX

Active since August 16, 2011PECOS EnrolledAccepts Medicare Assignment
605 S CONROE MEDICAL DR, CONROE, TX 77304(936) 539-4004 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen L Taylor F.n.p. NPPES

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

KAREN L TAYLOR F.N.P. (NPI 1164701504) is an individual family provider in Conroe, Texas, licensed in Texas (AP128273) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Conroe, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164701504
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN L TAYLORCredential: F.N.P.
Location Address605 S CONROE MEDICAL DRConroe, TX 77304-4722
Mailing Address605 S Conroe Medical DrConroe, TX 77304-4722 · (936) 539-4004
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 16, 2011
Last NPPES UpdateJune 16, 2015
NPI 1164701504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP128273
Also ListedRegistered NurseTaxonomy 163W00000X · License 790531 (TX), 759417 (CA)
605 S CONROE MEDICAL DR, Conroe, TX 77304

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 L Taylor F.n.p. 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 ID7214249721
PECOS Enrollment IDI20150710001945
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 3

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
352 services120 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
268 services256 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
239 services83 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Conroe

Acute Care Hospitals · Conroe, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450222
Location504 Medical Center BlvdConroe, TX 77304 · Montgomery County
Emergency services Birthing friendly

Huntsville Memorial Hospital

Acute Care Hospitals · Huntsville, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450347
Location110 Memorial Hospital DriveHuntsville, TX 77340 · Walker County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77304 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%382 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%646 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospitalist
605 S CONROE MEDICAL DR
CONROE, TX 77304
Student in an Organized Health Care Education/Training Program
605 S CONROE MEDICAL DR
CONROE, TX 77304
Family Medicine
605 S CONROE MEDICAL DR
CONROE, TX 77304
Family Medicine
605 S CONROE MEDICAL DR
CONROE, TX 77304
Student in an Organized Health Care Education/Training Program
605 S CONROE MEDICAL DR
CONROE, TX 77304
Student in an Organized Health Care Education/Training Program
605 S CONROE MEDICAL DR
CONROE, TX 77304
Counselor (Professional)
605 S CONROE MEDICAL DR
CONROE, TX 77304
Family Medicine
605 S CONROE MEDICAL DR
CONROE, TX 77304

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 Taylor's NPI number?

The NPI number for Karen Taylor is 1164701504. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Where is Karen Taylor located?

Karen Taylor practices at 605 S Conroe Medical Dr, Conroe, TX 77304. The listed phone number is (936) 539-4004.

What is Karen Taylor's specialty?

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

Is Karen Taylor enrolled in Medicare?

Yes. Karen Taylor 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 Taylor accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Karen Taylor 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 Taylor affiliated with any hospitals?

According to CMS data, Karen Taylor is affiliated with Hca Houston Healthcare Conroe and Huntsville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Karen Taylor was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.