MRS. KAREN ANN BOULOS ANP
NPI 1245584119
Nurse Practitioner - Adult Health in Syracuse, NY

Active since October 31, 2012PECOS EnrolledAccepts Medicare Assignment
736 IRVING AVE, SYRACUSE, NY 13210(315) 470-7111 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Karen Ann Boulos Anp NPPES

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

MRS. KAREN ANN BOULOS ANP (NPI 1245584119) is an individual adult health provider in Syracuse, New York, licensed in New York (F300773-1) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1245584119
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KAREN ANN BOULOSCredential: ANP
Location Address736 IRVING AVESyracuse, NY 13210-1687
Mailing Address736 Irving AveSyracuse, NY 13210-1687 · (315) 470-7111
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 31, 2012
NPI 1245584119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F300773-1
736 IRVING AVE, Syracuse, NY 13210

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 Ann Boulos Anp 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 ID7315245586
PECOS Enrollment IDI20260205000059
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.

Hospital Affiliations CMS Care Compare

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

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Nurse Practitioner (Family)
736 IRVING AVE
SYRACUSE, NY 13210
Nurse Practitioner (Family)
736 IRVING AVE
SYRACUSE, NY 13210
Anesthesiology
736 IRVING AVE
SYRACUSE, NY 13210
Internal Medicine
736 IRVING AVE
SYRACUSE, NY 13210
Radiology (Diagnostic Radiology)
736 IRVING AVE
SYRACUSE, NY 13210
Pharmacist
736 IRVING AVE
SYRACUSE, NY 13210
Emergency Medicine
736 IRVING AVE
SYRACUSE, NY 13210
Nurse Anesthetist, Certified Registered
736 IRVING AVE
SYRACUSE, NY 13210

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 Boulos's NPI number?

The NPI number for Karen Boulos is 1245584119. It was assigned to this individual provider in the NPPES registry on October 31, 2012.

Where is Karen Boulos located?

Karen Boulos practices at 736 Irving Ave, Syracuse, NY 13210. The listed phone number is (315) 470-7111.

What is Karen Boulos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Karen Boulos enrolled in Medicare?

Yes. Karen Boulos 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 Boulos affiliated with any hospitals?

According to CMS data, Karen Boulos is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Karen Boulos was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.