1. Home
  2. Directory
  3. Kansas
  4. Wichita
  5. Emergency Medicine
  6. NPI Profile

KAREN VALLE M.D.
NPI 1295267789
Emergency Medicine in Wichita, KS

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
90.67/100
CMS Quality Rating
929 N ST FRANCIS ST, WICHITA, KS 67214(316) 268-5000 Get Directions Write a Review

NPPES record last updated: January 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2022, Dec 3, 2021, Jul 13, 2020 and 1 more (4 updates tracked since 2020).

About Karen Valle M.d. NPPES

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

KAREN VALLE M.D. (NPI 1295267789) is an individual emergency medicine provider in Wichita, Kansas, licensed in Kansas (04-43419) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Via Christi Hospitals Wichita, Inc., and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2017).

NPPES Registry Identity

NPI1295267789
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKAREN VALLECredential: M.D.
Location Address929 N ST FRANCIS STWichita, KS 67214-3821
Mailing Address929 N St Francis StWichita, KS 67214-3821 · (316) 268-5000
Phone(316) 268-5000
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateJanuary 8, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2022
✔ NPI 1295267789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in KS · 04-43419✔ Licensed in TX · S1721
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
929 N ST FRANCIS ST, Wichita, KS 67214
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas, Inc..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 Valle M.d. 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 ID8224364161
PECOS Enrollment IDI20201014002377
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 Valle reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - Kansas LLC
Same address
Emergency Medicine
929 N SAINT FRANCIS ST
Wichita, KS 67214
  • Reassigned Medicare billing, Kansas enrollment
  • 97 clinicians in this Medicare group
NPI 1023405503 (316) 268-5000
Kansas Medical Center, LLC
8.8 mi
Family Medicine
1410 N WOODLAWN BLVD
Derby, KS 67037
  • Reassigned Medicare billing, Kansas enrollment
  • 63 clinicians in this Medicare group
NPI 1407237381 (316) 788-3741
Hutchinson Regional Medical Center, Inc.
41 mi
Infectious Disease
1701 E 23RD AVE
Hutchinson, KS 67502
  • Reassigned Medicare billing, Kansas enrollment
  • 220 clinicians in this Medicare group
NPI 1255984456 (620) 665-2000
Concord Medical Group PLLC
380 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330
Concord Medical Group Of Texas PLLC
380 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
NPI 1750790762 (888) 264-0330

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 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.
297 services293 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.
271 services249 patients
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.
107 services107 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
65 services64 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Via Christi Hospitals Wichita, Inc.

Acute Care Hospitals · Wichita, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170122
Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Via Christi Hospital Wichita St Teresa, Inc

Acute Care Hospitals · Wichita, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170200
Location14800 West St TeresaWichita, KS 67235 · Sedgwick County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67214 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

90.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.57
Improvement Activities40
Cost100

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.

MADELANNA GUTIERREZ APRN
Nurse Practitioner (Family)
929 N ST FRANCIS ST
WICHITA, KS 67214
Sedgwick County (316) 268-5000
EMILY JOYCE DREIFURST
Physical Therapist
929 N ST FRANCIS ST
WICHITA, KS 67214
Sedgwick County (316) 268-5000
SHANNON MARIE OYEWOLE CRNA
Nurse Anesthetist, Certified Registered
929 N ST FRANCIS ST
WICHITA, KS 67214
Sedgwick County (316) 268-5000
LOGAN EVERETT PRICE
Nurse Anesthetist, Certified Registered
929 N ST FRANCIS ST
WICHITA, KS 67214
Sedgwick County (316) 858-4900
JOSEPH LEWIS PA-C
Physician Assistant
929 N ST FRANCIS ST
WICHITA, KS 67214
Sedgwick County (316) 268-5000
MORGAN MICHELLE STUKE APRN
Nurse Practitioner (Family)
929 N ST FRANCIS ST
WICHITA, KS 67214
Sedgwick County (316) 268-5050
MATTHEW COLEMAN CRNA
Nurse Anesthetist, Certified Registered
929 N ST FRANCIS ST
WICHITA, KS 67214
Sedgwick County (316) 268-5000
WYATT WILLIAM WINTER CRNA
Nurse Anesthetist, Certified Registered
929 N ST FRANCIS ST
WICHITA, KS 67214
Sedgwick County (316) 268-5000

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 Valle's NPI number?

The NPI number for Karen Valle is 1295267789. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Karen Valle located?

Karen Valle practices at 929 N St Francis St, Wichita, KS 67214. The listed phone number is (316) 268-5000.

What is Karen Valle's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Karen Valle enrolled in Medicare?

Yes. Karen Valle 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 Valle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Valle reassigns Medicare benefits to 5 organizations: Cep America - Kansas LLC (Wichita, KS), Kansas Medical Center, LLC (Derby, KS), Hutchinson Regional Medical Center, Inc. (Hutchinson, KS), Concord Medical Group PLLC (Lubbock, TX) and Concord Medical Group Of Texas PLLC (Lubbock, TX). 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 Valle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Valle accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Kansas, Inc. list Karen Valle 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 Valle affiliated with any hospitals?

According to CMS data, Karen Valle is affiliated with Ascension Via Christi Hospitals Wichita, Inc. and Via Christi Hospital Wichita St Teresa, Inc.

When was this NPI record last updated?

The NPPES record for Karen Valle was last updated on January 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.