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KARLA J WALDEN CNP
NPI 1235472101
Nurse Practitioner - Family in Cincinnati, OH

Active since March 29, 2013PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
625 EDEN PARK DR, CINCINNATI, OH 45202(513) 240-2625(858) 216-1988 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karla J Walden Cnp NPPES

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

KARLA J WALDEN CNP (NPI 1235472101) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.14395) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and maintains a secondary practice location in Mason.

NPPES Registry Identity

NPI1235472101
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARLA J WALDENCredential: CNP
Location Address625 EDEN PARK DRCincinnati, OH 45202-6005
Mailing Address508 Miller StLebanon, OH 45036-1934 · (513) 444-9916
Phone(513) 240-2625
Fax(858) 216-1988
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 29, 2013
Last NPPES UpdateJuly 25, 2024
NPPES CertifiedJuly 25, 2024
✔ NPI 1235472101 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 OH · APRN.CNP.14395✔ Licensed in OH · COA 14395 NP
625 EDEN PARK DR, Cincinnati, OH 45202
Open in Google Maps ↗

Secondary Practice Location 1

Location 14361 Irwin Simpson RdMason, OH 45040-9479 · Phone (513) 444-9916

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, Oscar Health Insurance.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

Karla J Walden 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 ID5991085839
PECOS Enrollment IDI20161209001515
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 7

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.
1,115 services190 patients
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.
261 services106 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.
165 services143 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.
74 services71 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
63 services23 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.
49 services45 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45202 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$63.36 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$28.31 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 5

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

MRS. ISABEL ABBA-MESUE CNP
Nurse Practitioner (Family)
625 EDEN PARK DR
CINCINNATI, OH 45202
Hamilton County (513) 246-9155
KELLEY E IRBY FNP-C
Nurse Practitioner (Family)
625 EDEN PARK DR
CINCINNATI, OH 45202
Hamilton County (513) 246-9155
DR. LISA DARNELL WILSON FNP-C
Nurse Practitioner (Family)
625 EDEN PARK DR
CINCINNATI, OH 45202
Hamilton County (513) 246-9155
AMY ELIZABETH WAGNER CNP
Nurse Practitioner (Adult Health)
625 EDEN PARK DR
CINCINNATI, OH 45202
Hamilton County (513) 246-9155
VALYA F POLANSKI CNP
Nurse Practitioner (Family)
625 EDEN PARK DR
CINCINNATI, OH 45202
Hamilton County (513) 246-9155

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 Karla Walden's NPI number?

The NPI number for Karla Walden is 1235472101. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Where is Karla Walden located?

Karla Walden practices at 625 Eden Park Dr, Cincinnati, OH 45202. The listed phone number is (513) 240-2625.

What is Karla Walden's specialty?

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

Is Karla Walden enrolled in Medicare?

Yes. Karla Walden 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 Karla Walden accept?

Health plans from CareSource, Molina Healthcare and Oscar Health Insurance list Karla Walden 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 Karla Walden affiliated with any hospitals?

According to CMS data, Karla Walden is affiliated with Mercy Health-Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Karla Walden was last updated on July 25, 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.