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KAREN S FAIRCLOTH NP
NPI 1265760060
Nurse Practitioner in Pell City, AL

Active since December 07, 2009PECOS EnrolledAccepts Medicare Assignment
2805 DR JOHN HAYNES DR, PELL CITY, AL 35125(866) 313-5260(205) 313-5245 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karen S Faircloth Np NPPES

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

KAREN S FAIRCLOTH NP (NPI 1265760060) is an individual nurse practitioner in Pell City, Alabama, licensed in Alabama (1-030650) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1265760060
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN S FAIRCLOTHCredential: NP
Location Address2805 DR JOHN HAYNES DRPell City, AL 35125-1448
Mailing Address333 Castleman LnLeeds, AL 35094-3856 · (205) 699-6215
Phone(866) 313-5260
Fax(205) 313-5245
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateDecember 7, 2009
✔ NPI 1265760060 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 AL · 1-030650
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.
2805 DR JOHN HAYNES DR, Pell City, AL 35125
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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 Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen S Faircloth Np 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 ID547301038
PECOS Enrollment IDI20100106000192
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Karen Faircloth reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alteon Health Alabama, LLC
15 mi
Emergency Medicine
604 STONE AVENUE
Talladega, AL 35160
  • Reassigned Medicare billing, Alabama enrollment
  • 141 clinicians in this Medicare group
NPI 1477708857 (844) 474-4019
Nes Tennessee Inc
30 mi
Emergency Medicine
315 W HICKORY ST
Sylacauga, AL 35150
  • Reassigned Medicare billing, Alabama enrollment
  • 168 clinicians in this Medicare group
NPI 1720507635 (256) 401-4000
Paragon Contracting Services LLC
30 mi
Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 646 clinicians in this Medicare group
NPI 1225071459 (205) 939-7100
Ies Alabama PLLC
234 mi
Emergency Medicine
1613 N MCKENZIE ST
Foley, AL 36535
  • Reassigned Medicare billing, Alabama enrollment
  • 110 clinicians in this Medicare group
NPI 1053027276 (251) 949-3540
Hospital Medicine Associates LLC
353 mi
Hospitalist
17000 MEDICAL CENTER DR
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Alabama enrollment
  • 229 clinicians in this Medicare group
NPI 1093758781 (225) 752-2470

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
150 services144 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
149 services145 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
58 services57 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35125 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 7

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

DR. GEOFFREY LEE SINGER MD
Emergency Medicine
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125
St. Clair County (205) 814-2104
ST. VINCENT'S ST. CLAIR, LLC
Nurse Anesthetist, Certified Registered
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125
St. Clair County (205) 814-2104
BRIAN A. BILODEAU CRNA
Nurse Anesthetist, Certified Registered
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125
St. Clair County (205) 814-3627
ALABAMA HEALTH SERVICES ST CLAIR LLC
Anesthesiology
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125
St. Clair County (205) 338-3301
DR. CLARK D BAKER III MD
Internal Medicine (Cardiovascular Disease)
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125
St. Clair County (205) 814-2104
ST. CLAIR EMERGENCY PHYSICIANS, LLC.
Emergency Medicine
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125
St. Clair County (205) 338-3301
ST VINCENTS ST CLAIR LLC
Emergency Medicine
2805 DR JOHN HAYNES DR
PELL CITY, AL 35125
St. Clair County (205) 814-2104

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 Faircloth's NPI number?

The NPI number for Karen Faircloth is 1265760060. It was assigned to this individual provider in the NPPES registry on December 7, 2009.

Where is Karen Faircloth located?

Karen Faircloth practices at 2805 Dr John Haynes Dr, Pell City, AL 35125. The listed phone number is (866) 313-5260.

What is Karen Faircloth's specialty?

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

Is Karen Faircloth enrolled in Medicare?

Yes. Karen Faircloth 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.

Which organizations bill Medicare for Karen Faircloth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Faircloth reassigns Medicare benefits to 5 organizations: Alteon Health Alabama, LLC (Talladega, AL), Nes Tennessee Inc (Sylacauga, AL), Paragon Contracting Services LLC (Birmingham, AL), Ies Alabama PLLC (Foley, AL) and Hospital Medicine Associates LLC (Baton Rouge, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Faircloth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Faircloth accept?

Health plans from Blue Cross and Blue Shield of Alabama list Karen Faircloth 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.

When was this NPI record last updated?

The NPPES record for Karen Faircloth was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.