KAREN A SENICA APRN, CNP
NPI 1174086599
Nurse Practitioner - Psychiatric/Mental Health in Woodstock, IL

Active since April 11, 2019PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
3701 DOTY RD, WOODSTOCK, IL 60098(815) 334-5018(815) 334-3185 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2022, Jun 17, 2021, Mar 30, 2020 and 2 more (5 updates tracked since 2019).

About Karen A Senica Aprn, Cnp NPPES

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

KAREN A SENICA APRN, CNP (NPI 1174086599) is an individual psychiatric/mental health provider in Woodstock, Illinois, licensed in Illinois (209020276) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains a secondary practice location in Woodstock.

NPPES Registry Identity

NPI1174086599
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAREN A SENICACredential: APRN, CNP
Location Address3701 DOTY RDWoodstock, IL 60098-7509
Mailing Address5404 W Elm St Ste QMchenry, IL 60050-4007 · (815) 344-7951 · Fax (815) 759-3807
Fax(815) 334-3185
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 11, 2019
Last NPPES UpdateFebruary 12, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
NPI 1174086599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 209020276
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 041428173 (IL)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209020276 (IL)
3701 DOTY RD, Woodstock, IL 60098

Secondary Practice Location 1

Location 13707 Doty Rd Ste GWoodstock, IL 60098-7530 · Phone (815) 334-5018 · Fax (815) 206-2822

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 A Senica Aprn, Cnp 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 ID2860825742
PECOS Enrollment IDI20191206001590
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 2

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.
38 services12 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.
20 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60098 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist
3701 DOTY RD, PHARMACY DEPARTMENT
WOODSTOCK, IL 60098
Social Worker (Clinical)
3701 DOTY RD
WOODSTOCK, IL 60098
Psychiatry & Neurology (Psychiatry)
3701 DOTY RD
WOODSTOCK, IL 60098
Nurse Practitioner
3701 DOTY RD
WOODSTOCK, IL 60098
Nurse Practitioner (Gerontology)
3701 DOTY RD
WOODSTOCK, IL 60098
Pathology (Anatomic Pathology & Clinical Pathology)
3701 DOTY RD, CENTEGRA MEMORIAL MEDICAL CENTER / PATHOLOGY DEPARTMENT
WOODSTOCK, IL 60098
Pharmacist
3701 DOTY RD, PHARMACY DEPARTMENT
WOODSTOCK, IL 60098
Psychologist (Clinical)
3701 DOTY RD
WOODSTOCK, IL 60098

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 Senica's NPI number?

The NPI number for Karen Senica is 1174086599. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Karen Senica located?

Karen Senica practices at 3701 Doty Rd, Woodstock, IL 60098. The listed phone number is (815) 334-5018.

What is Karen Senica's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Karen Senica enrolled in Medicare?

Yes. Karen Senica 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.

Is Karen Senica affiliated with any hospitals?

According to CMS data, Karen Senica is affiliated with Northwestern Medicine Mchenry and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Karen Senica was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.