MS. KAREN MCGOWAN-COTTLE APRN FNP-BC
NPI 1225487838
Nurse Practitioner - Family in Hamden, CT

Q: What is Karen Mcgowan-cottle's NPI number?

The NPI number for Karen Mcgowan-cottle is 1225487838. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Q: What is Karen Mcgowan-cottle's specialty?

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

Active since June 06, 2016PECOS Enrolled

1952 WHITNEY AVE, HAMDEN, CT 06517(203) 848-1803 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2026, Feb 5, 2026, Jul 2, 2024 and 3 more (6 updates tracked since 2016).

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About Ms. Karen Mcgowan-cottle Aprn Fnp-bc NPPES

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

MS. KAREN MCGOWAN-COTTLE APRN FNP-BC (NPI 1225487838) is an individual family provider in Hamden, Connecticut, licensed in Connecticut (006587) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225487838

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KAREN MCGOWAN-COTTLECredential: APRN FNP-BC

Location Address1952 WHITNEY AVEHamden, CT 06517-1209

Mailing Address216 Hemlock Ave Ste 103South Windsor, CT 06074-9607 · (860) 697-6370 · Fax (860) 229-9143

Phone(203) 848-1803

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 6, 2016

Last NPPES UpdateApril 27, 20266 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1225487838 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 CT · 006587✔ Licensed in NY · F340513

1952 WHITNEY AVE, Hamden, CT 06517

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Karen Mcgowan-cottle Aprn Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153601299

PECOS Enrollment IDI20161207002506

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.

Medicare Billing Reassignments

Medicare enrollment records show Karen Mcgowan-cottle reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Margaret Chustecka Internal Medicine Of Greater New Haven

Same address

Internal Medicine

1952 WHITNEY AVE
Hamden, CT 06517

Reassigned Medicare billing, Connecticut enrollment
32 clinicians in this Medicare group

NPI 1053344473 (203) 848-1803

Impact Health P.C.

8.8 mi

Nurse Practitioner

240 INDIAN RIVER RD STE C7
Orange, CT 06477

Reassigned Medicare billing, Connecticut enrollment
Medicare enrollment name: Impact Health PC
129 clinicians in this Medicare group

NPI 1730694316 (203) 497-3861

Proactive Health Care Management,llc

12 mi

Adult Health

46 SOUNDVIEW AVE
Milford, CT 06460

Reassigned Medicare billing, Connecticut enrollment
60 clinicians in this Medicare group

NPI 1811641145 (203) 895-4360

Mouli Associates LLC

36 mi

Internal Medicine

216 HEMLOCK AVE STE 103
South Windsor, CT 06074

Reassigned Medicare billing, Connecticut enrollment
3 clinicians in this Medicare group

NPI 1598408809 (860) 471-8030

Careconnectmd Connecticut PC

38 mi

Geriatric Medicine

1266 E MAIN ST
Stamford, CT 06902

Reassigned Medicare billing, Connecticut enrollment
Medicare enrollment name: Careconnectmd Connecticut P.C.
168 clinicians in this Medicare group

NPI 1467187336 (888) 789-9585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

537 services135 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

315 services106 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

185 services89 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

40 services37 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

29 services29 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06517 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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

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

2 suppliers16 claims16 services$38.32 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 20

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

MRS. LINDSEY RENEE PREO APRN

Nurse Practitioner (Family)