KAREN WINTER CRNP
NPI 1275879447
Nurse Practitioner - Family in Quakertown, PA

Active since December 17, 2012PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1021 PARK AVE, QUAKERTOWN, PA 18951(215) 536-7998(215) 536-7476 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Winter Crnp NPPES

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

KAREN WINTER CRNP (NPI 1275879447) is an individual family provider in Quakertown, Pennsylvania, licensed in Pennsylvania (SP012538) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275879447
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN WINTERCredential: CRNP
Location Address1021 PARK AVEQuakertown, PA 18951-1573
Mailing Address801 Ostrum St, EnrollmentsBethlehem, PA 18015-1000 · (484) 526-6048 · Fax (484) 526-6500
Fax(215) 536-7476
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 17, 2012
NPI 1275879447 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 PA · SP012538
1021 PARK AVE, Quakertown, PA 18951

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 Winter Crnp 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 ID5294980330
PECOS Enrollment IDI20130221000334
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 9

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.
275 services199 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
62 services62 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.
61 services58 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
24 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services22 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
20 services19 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18951 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
1021 PARK AVE, SUITE 203
QUAKERTOWN, PA 18951
Emergency Medicine
1021 PARK AVE
QUAKERTOWN, PA 18951
Physician Assistant (Medical)
1021 PARK AVE, SUITE 10
QUAKERTOWN, PA 18951
Family Medicine
1021 PARK AVE, SUITE 203
QUAKERTOWN, PA 18951
Radiology (Diagnostic Radiology)
1021 PARK AVE
QUAKERTOWN, PA 18951
Internal Medicine
1021 PARK AVE, SUITE 101
QUAKERTOWN, PA 18951
Family Medicine
1021 PARK AVE, STE203
QUAKERTOWN, PA 18951
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1021 PARK AVE, SUITE 200
QUAKERTOWN, PA 18951

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 Winter's NPI number?

The NPI number for Karen Winter is 1275879447. It was assigned to this individual provider in the NPPES registry on December 17, 2012.

Where is Karen Winter located?

Karen Winter practices at 1021 Park Ave, Quakertown, PA 18951. The listed phone number is (215) 536-7998.

What is Karen Winter's specialty?

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

Is Karen Winter enrolled in Medicare?

Yes. Karen Winter 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 Winter affiliated with any hospitals?

According to CMS data, Karen Winter is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem and Grand View Health.

When was this NPI record last updated?

The NPPES record for Karen Winter was last updated on December 17, 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.