KAREN A PEKLE ANP-C
NPI 1255412920
Nurse Practitioner in New York, NY

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
425 E 61ST ST FL 8, NEW YORK, NY 10065(646) 962-6500(212) 746-8961 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen A Pekle Anp-c NPPES

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

KAREN A PEKLE ANP-C (NPI 1255412920) is an individual nurse practitioner in New York, New York, licensed in New York (302606) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1255412920
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN A PEKLECredential: ANP-C
Location Address425 E 61ST ST FL 8New York, NY 10065-8722
Mailing Address425 E 61st St Fl 8New York, NY 10065-8722 · (646) 962-6500 · Fax (212) 746-8961
Fax(212) 746-8961
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 18, 2006
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
NPI 1255412920 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 NY · 302606
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.
425 E 61ST ST FL 8, New York, NY 10065

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 A Pekle Anp-c 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 ID2163451600
PECOS Enrollment IDI20090528000193
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.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Hematology & Oncology)
425 E 61ST ST FL 8
NEW YORK, NY 10065
Internal Medicine (Medical Oncology)
425 E 61ST ST FL 8
NEW YORK, NY 10065
Nurse Practitioner (Family)
425 E 61ST ST FL 8
NEW YORK, NY 10065
Nurse Practitioner (Primary Care)
425 E 61ST ST FL 8
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
425 E 61ST ST FL 8
NEW YORK, NY 10065
Nurse Practitioner (Gerontology)
425 E 61ST ST FL 8
NEW YORK, NY 10065
Pharmacist
425 E 61ST ST FL 8
NEW YORK, NY 10065
Genetic Counselor, MS
425 E 61ST ST FL 8
NEW YORK, NY 10065

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 Pekle's NPI number?

The NPI number for Karen Pekle is 1255412920. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Karen Pekle located?

Karen Pekle practices at 425 E 61st St Fl 8, New York, NY 10065. The listed phone number is (646) 962-6500.

What is Karen Pekle's specialty?

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

Is Karen Pekle enrolled in Medicare?

Yes. Karen Pekle 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 Pekle affiliated with any hospitals?

According to CMS data, Karen Pekle is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Karen Pekle was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.