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MS. KAREN GAIL MCLAUGHLIN FNP
NPI 1205081528
Nurse Practitioner in Burnsville, NC

Active since December 01, 2008PECOS Enrolled
285 GEORGES FORK RD, BURNSVILLE, NC 28714(828) 688-2104 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2024, May 4, 2023, Jul 27, 2022 (3 updates tracked since 2022).

About Ms. Karen Gail Mclaughlin Fnp NPPES

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

MS. KAREN GAIL MCLAUGHLIN FNP (NPI 1205081528) is an individual nurse practitioner in Burnsville, North Carolina, licensed in North Carolina (5004190) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205081528
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KAREN GAIL MCLAUGHLINCredential: FNP
Location Address285 GEORGES FORK RDBurnsville, NC 28714-7827
Mailing AddressPo Box 27Bakersville, NC 28705-0027 · (828) 688-2104 · Fax (828) 688-1334
Phone(828) 688-2104
Sole ProprietorNo
Enumeration DateDecember 1, 2008
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1205081528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5004190
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5004190 (NC)
285 GEORGES FORK RD, Burnsville, NC 28714
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Other Identifiers 1

Medicaid1205081528NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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)

Ms. Karen Gail Mclaughlin Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28714 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 2

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

MICHELLE LEE PRESNELL LCSWA
Social Worker (Clinical)
285 GEORGES FORK RD
BURNSVILLE, NC 28714
Yancey County (828) 682-2281
MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
285 GEORGES FORK RD
BURNSVILLE, NC 28714
Yancey County (828) 682-2281

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 Mclaughlin's NPI number?

The NPI number for Karen Mclaughlin is 1205081528. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Karen Mclaughlin located?

Karen Mclaughlin practices at 285 Georges Fork Rd, Burnsville, NC 28714. The listed phone number is (828) 688-2104.

What is Karen Mclaughlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karen Mclaughlin enrolled in Medicare?

Yes. Karen Mclaughlin is registered in the Medicare PECOS enrollment system.

What insurance does Karen Mclaughlin accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Karen Mclaughlin 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 Karen Mclaughlin was last updated on July 10, 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.