KAREN MONGER
NPI 1255720801
Nurse Practitioner - Family in Raleigh, NC

Q: What is Karen Monger's NPI number?

The NPI number for Karen Monger is 1255720801. It was assigned to this individual provider in the NPPES registry on January 21, 2015.

Q: What is Karen Monger's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karen Monger was last updated on January 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 21, 2015PECOS EnrolledAccepts Medicare Assignment

2800 BLUE RIDGE RD, SUITE 204, RALEIGH, NC 27607(919) 784-7460 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Karen Monger NPPES

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

KAREN MONGER (NPI 1255720801) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (F0714229) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255720801

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKAREN MONGER

Location Address2800 BLUE RIDGE RD, SUITE 204Raleigh, NC 27607-6478

Mailing Address2800 Blue Ridge Rd Ste 204Raleigh, NC 27607-6477 · (919) 784-7460

Phone(919) 784-7460

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 21, 2015

✔ NPI 1255720801 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

License✔ Licensed in NC · F0714229

2800 BLUE RIDGE RD, Raleigh, NC 27607

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 Monger 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 ID6305164567

PECOS Enrollment IDI20150420000780

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 5

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.

357 services202 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.

70 services55 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.

35 services33 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Referred Medical Equipment & Supplies CMS DME claims 28

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

17 suppliers157 claims157 services$35.86 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers22 claims44 services$1.27 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

16 suppliers106 claims106 services$89.01 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

16 suppliers103 claims288 services$33.11 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

9 suppliers38 claims213 services$17.08 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

8 suppliers37 claims203 services$12.18 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

12 suppliers86 claims86 services$48.85 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

16 suppliers117 claims117 services$16.49 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

11 suppliers31 claims31 services$12.64 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

17 suppliers169 claims960 services$1.96 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

15 suppliers77 claims77 services$11.86 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$54.04 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers62 claims63 services$15.99 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$36.70 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

7 suppliers95 claims95 services$92.19 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

4 suppliers25 claims25 services$203.62 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

8 suppliers34 claims34 services$133.18 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers19 claims19 services$10.87 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers39 claims39 services$3.91 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

14 suppliers217 claims217 services$30.74 avg. paid by Medicare

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

12 suppliers186 claims187 services$76.28 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers53 claims53 services$33.91 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

3 suppliers25 claims1,500 services$4.79 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

4 suppliers29 claims1,740 services$6.50 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

6 suppliers26 claims3,947 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

9 suppliers21 claims2,490 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

8 suppliers54 claims3,372 services$0.78 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

14 suppliers82 claims82 services$25.72 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 20

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

SARAH OWREY M.D.

Pediatrics

2800 BLUE RIDGE RD, SUITE 401
RALEIGH, NC 27607

Wake County (919) 781-7490

CAROLINA CARDIOVASCULAR HEALTH & FITNESS, PA

Internal Medicine (Cardiovascular Disease)

2800 BLUE RIDGE RD, SUITE 403
RALEIGH, NC 27607

Wake County (919) 232-0050

DR. DAVID BEAUCHAMP EDDLEMAN MD

Surgery

2800 BLUE RIDGE RD, SUITE 503
RALEIGH, NC 27607

Wake County (919) 782-8210

BEN MILLER MEARES JR. MD

Pediatrics

2800 BLUE RIDGE RD, SUITE 401
RALEIGH, NC 27607

Wake County (919) 781-7490

SHANNON DOROTHY COUTURE NP-C

Nurse Practitioner (Primary Care)

2800 BLUE RIDGE RD
RALEIGH, NC 27607

Wake County (919) 787-5380

DR. THOMAS WILBUR MADDOX MD

Surgery

2800 BLUE RIDGE RD, STE 503
RALEIGH, NC 27607

Wake County (919) 782-8210

RALEIGH SURGICAL GROUP, INC.

Surgery

2800 BLUE RIDGE RD, STE 503
RALEIGH, NC 27607

Wake County (919) 782-8210

DR. ROBERT LEE JOBE M.D.

Internal Medicine (Interventional Cardiology)

2800 BLUE RIDGE RD, SUITE 550
RALEIGH, NC 27607

Wake County (919) 787-5380

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 Monger's NPI number?

The NPI number for Karen Monger is 1255720801. It was assigned to this individual provider in the NPPES registry on January 21, 2015.

Where is Karen Monger located?

Karen Monger practices at 2800 Blue Ridge Rd Suite 204, Raleigh, NC 27607. The listed phone number is (919) 784-7460.

What is Karen Monger's specialty?

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

Is Karen Monger enrolled in Medicare?

Yes. Karen Monger 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 Monger accept?

Health plans from Blue Cross and Blue Shield of NC list Karen Monger 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 Monger affiliated with any hospitals?

According to CMS data, Karen Monger is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Karen Monger was last updated on January 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.