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KAREN ARDEL MONTERUSSO PA
NPI 1245204965
Physician Assistant in Holland, MI

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
3299 N WELLNESS DR STE 150, HOLLAND, MI 49424(616) 738-3884 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, May 4, 2021, May 7, 2019 and 1 more (4 updates tracked since 2017).

About Karen Ardel Monterusso Pa NPPES

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

KAREN ARDEL MONTERUSSO PA (NPI 1245204965) is an individual physician assistant in Holland, Michigan, licensed in Michigan (5601002398) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Holland Community Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1245204965
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAREN ARDEL MONTERUSSOCredential: PA
Location Address3299 N WELLNESS DR STE 150Holland, MI 49424-7270
Mailing Address3299 N Wellness Dr Ste 150Holland, MI 49424-7270 · (616) 738-3884
Phone(616) 738-3884
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 17, 2006
Last NPPES UpdateOctober 2, 20244 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1245204965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601002398
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3299 N WELLNESS DR STE 150, Holland, MI 49424
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Other Names 1

Professional Name (2)Ms. Karen Ardel Schumaker Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Karen Ardel Monterusso Pa 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 ID6709890197
PECOS Enrollment IDI20060206000856
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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
123 services98 patients
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.
84 services68 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services18 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Holland Community Hospital

Acute Care Hospitals · Holland, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230072
Location602 Michigan AveHolland, MI 49423 · Ottawa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49424 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

HOLLAND COMMUNITY HOSPITAL
Orthopaedic Surgery
3299 N WELLNESS DR STE 150
HOLLAND, MI 49424
Ottawa County (616) 738-3884
DR. ANN MONROE M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
3299 N WELLNESS DR STE 150
HOLLAND, MI 49424
Ottawa County (616) 738-3884

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 Monterusso's NPI number?

The NPI number for Karen Monterusso is 1245204965. It was assigned to this individual provider in the NPPES registry on February 17, 2006. The provider is also known as Ms. Karen Ardel Schumaker Pa-C.

Where is Karen Monterusso located?

Karen Monterusso practices at 3299 N Wellness Dr Ste 150, Holland, MI 49424. The listed phone number is (616) 738-3884.

What is Karen Monterusso's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Karen Monterusso enrolled in Medicare?

Yes. Karen Monterusso 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 Monterusso accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Karen Monterusso 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 Monterusso affiliated with any hospitals?

According to CMS data, Karen Monterusso is affiliated with Holland Community Hospital.

When was this NPI record last updated?

The NPPES record for Karen Monterusso was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.