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MS. KAREN REYES APRN
NPI 1235444563
Nurse Practitioner - Family in Farmington, CT

Active since August 11, 2010PECOS EnrolledAccepts Medicare Assignment
263 FARMINGTON AVE, 4TH FLOOR, FARMINGTON, CT 06030(860) 679-2000 Get Directions Write a Review

NPPES record last updated: July 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Karen Reyes Aprn NPPES

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

MS. KAREN REYES APRN (NPI 1235444563) is an individual family provider in Farmington, Connecticut, licensed in Connecticut (004487) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1235444563
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KAREN REYESCredential: APRN
Location Address263 FARMINGTON AVE, 4TH FLOORFarmington, CT 06030-0001
Mailing Address65 Kane St, Provider EnrollmentWest Hartford, CT 06119-2110 · (860) 523-6421 · Fax (860) 523-3701
Phone(860) 679-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 11, 2010
Last NPPES UpdateJuly 6, 2012
✔ NPI 1235444563 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 CT · 004487
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 004487 (CT)
263 FARMINGTON AVE, Farmington, CT 06030
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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

Ms. Karen Reyes Aprn 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 ID648438622
PECOS Enrollment IDI20120222000259
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 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.
425 services173 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
107 services106 patients
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.
106 services64 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06030 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.

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…
94%228 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.

STATE OF CONNECTICUT HEALTH CENTER
Pathology (Anatomic Pathology & Clinical Pathology)
263 FARMINGTON AVE, LABORATORY HBP GROUP
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-7503
MR. IAN THOMAS MCNEILL
Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-8080
DR. LUIS CHAVEZ DE PAZ DDS, MS, PHD
Dentist (Endodontics)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2719
TARUNYA REDDY VEDERE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3245
ZACHARY TALLENT SOLOMON
Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467
MICHAEL CONNOLLY
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4733
EMILY WENG DO
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3158
ANDREW KEMERLEY DO
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467

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 Reyes's NPI number?

The NPI number for Karen Reyes is 1235444563. It was assigned to this individual provider in the NPPES registry on August 11, 2010.

Where is Karen Reyes located?

Karen Reyes practices at 263 Farmington Ave 4th Floor, Farmington, CT 06030. The listed phone number is (860) 679-2000.

What is Karen Reyes's specialty?

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

Is Karen Reyes enrolled in Medicare?

Yes. Karen Reyes 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 Reyes affiliated with any hospitals?

According to CMS data, Karen Reyes is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Karen Reyes was last updated on July 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.