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MRS. KAREN KAY TUMBLIN NURSE PRACTITIONER
NPI 1235604679
Nurse Practitioner in Bay City, MI

Active since October 12, 2018PECOS EnrolledAccepts Medicare Assignment
200 S WENONA ST, BAY CITY, MI 48706(989) 893-8116 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Karen Kay Tumblin Nurse Practitioner NPPES

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

MRS. KAREN KAY TUMBLIN NURSE PRACTITIONER (NPI 1235604679) is an individual nurse practitioner in Bay City, Michigan, licensed in Michigan (4704254478) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1235604679
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KAREN KAY TUMBLINCredential: NURSE PRACTITIONER
Location Address200 S WENONA STBay City, MI 48706-8820
Mailing Address106 Andre StBay City, MI 48706-5383 · (989) 671-2634
Phone(989) 893-8116
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 12, 2018
✔ NPI 1235604679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704254478
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.
200 S WENONA ST, Bay City, MI 48706
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Mrs. Karen Kay Tumblin Nurse Practitioner 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 ID9436490059
PECOS Enrollment IDI20190409001936
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48706 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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.

J.B. HEARING, INC.
Hearing Instrument Specialist
200 S WENONA ST, SUITE 165
BAY CITY, MI 48706
Bay County (989) 892-6232
MARK E GINTHER M D P C
Internal Medicine
200 S WENONA ST, SUITE 225
BAY CITY, MI 48706
Bay County (989) 893-9705
DR. RUSSELL J STRUBLE M.D.
Family Medicine
200 S WENONA ST, SUITE 100
BAY CITY, MI 48706
Bay County (989) 892-6587
B.A. HEARING, INC
Audiologist-Hearing Aid Fitter
200 S WENONA ST
BAY CITY, MI 48706
Bay County (989) 892-6232
MRS. CYNTHIA K HACK LMSW, CSW
Social Worker (Clinical)
200 S WENONA ST, SUITE G29
BAY CITY, MI 48706
Bay County (989) 893-3212
MRS. THERESA M. WEAVER M.A., L.P.C.
Counselor (Professional)
200 S WENONA ST, DEPT-TOTAL FAMILY HEALTH CARE STE 170
BAY CITY, MI 48706
Bay County (989) 893-6162
KEITH J MOODY D O P C
Internal Medicine (Geriatric Medicine)
200 S WENONA ST, SUITE 225
BAY CITY, MI 48706
Bay County (989) 893-9705
DR. SANG H OH MD
Obstetrics & Gynecology
200 S WENONA ST, SUITE #291
BAY CITY, MI 48706
Bay County (989) 892-5548

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 Tumblin's NPI number?

The NPI number for Karen Tumblin is 1235604679. It was assigned to this individual provider in the NPPES registry on October 12, 2018.

Where is Karen Tumblin located?

Karen Tumblin practices at 200 S Wenona St, Bay City, MI 48706. The listed phone number is (989) 893-8116.

What is Karen Tumblin's specialty?

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

Is Karen Tumblin enrolled in Medicare?

Yes. Karen Tumblin 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 Karen Tumblin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Karen Tumblin 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 Karen Tumblin affiliated with any hospitals?

According to CMS data, Karen Tumblin is affiliated with Mclaren Bay Region.

When was this NPI record last updated?

The NPPES record for Karen Tumblin was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.