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MS. KAREN MCCLAIN ANP
NPI 1255757357
Nurse Practitioner - Adult Health in Bradford, PA

Active since March 13, 2014PECOS EnrolledAccepts Medicare Assignment
116 INTERSTATE PKWY STE 41, BRADFORD, PA 16701(814) 368-4143 Get Directions Write a Review

NPPES record last updated: May 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Karen Mcclain Anp NPPES

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

MS. KAREN MCCLAIN ANP (NPI 1255757357) is an individual adult health provider in Bradford, Pennsylvania, licensed in Pennsylvania (SP013853) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Olean General Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255757357
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. KAREN MCCLAINCredential: ANP
Location Address116 INTERSTATE PKWY STE 41Bradford, PA 16701-1036
Mailing Address116 Interstate PkwyBradford, PA 16701-1036 · (814) 368-4143
Phone(814) 368-4143
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 13, 2014
Last NPPES UpdateMay 1, 2014
✔ NPI 1255757357 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 PA · SP013853
116 INTERSTATE PKWY STE 41, Bradford, PA 16701
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Other Names 1

Former Name (1)Ms. Karen Marie Girard

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

Ms. Karen Mcclain 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 ID5991921363
PECOS Enrollment IDI20140721000257
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.
359 services226 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.
51 services51 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
16 services16 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.
12 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Olean General Hospital

Acute Care Hospitals · Olean, NY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number330103
Location515 Main StreetOlean, NY 14760 · Cattaraugus County
Emergency services Birthing friendly

Upmc Cole

Critical Access Hospitals · Coudersport, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391313
Location1001 East Second StreetCoudersport, PA 16915 · Potter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers98 claims125 services$5.50 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers39 claims41 services$0.95 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 4

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

OLEAN GENERAL HOSPITAL
Family Medicine
116 INTERSTATE PKWY STE 41
BRADFORD, PA 16701
McKean County (814) 363-9484
LEXANDRIA PASCARELLA PA
Physician Assistant
116 INTERSTATE PKWY STE 41
BRADFORD, PA 16701
McKean County (814) 363-9484
SARAH JANE RAMEY FNP
Nurse Practitioner (Family)
116 INTERSTATE PKWY STE 41
BRADFORD, PA 16701
McKean County (814) 363-9484
DR. JAKUB TOMASZ WOJCIK MD
Internal Medicine
116 INTERSTATE PKWY STE 41
BRADFORD, PA 16701
McKean County (814) 363-9484

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 Mcclain's NPI number?

The NPI number for Karen Mcclain is 1255757357. It was assigned to this individual provider in the NPPES registry on March 13, 2014. The provider is also known as Ms. Karen Marie Girard.

Where is Karen Mcclain located?

Karen Mcclain practices at 116 Interstate Pkwy Ste 41, Bradford, PA 16701. The listed phone number is (814) 368-4143.

What is Karen Mcclain's specialty?

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

Is Karen Mcclain enrolled in Medicare?

Yes. Karen Mcclain 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 Mcclain affiliated with any hospitals?

According to CMS data, Karen Mcclain is affiliated with Olean General Hospital and Upmc Cole.

When was this NPI record last updated?

The NPPES record for Karen Mcclain was last updated on May 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.