KARLEENA MARIE MICKLE FNP
NPI 1316509383
Nurse Practitioner in Corning, NY

Q: What is Karleena Mickle's NPI number?

The NPI number for Karleena Mickle is 1316509383. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Q: What is Karleena Mickle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karleena Mickle was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 01, 2019PECOS Enrolled

1 GUTHRIE DR, CORNING, NY 14830(607) 973-7200(607) 937-7866 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 12, 2021, Jul 1, 2019 (2 updates tracked since 2019).

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About Karleena Marie Mickle Fnp NPPES

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

KARLEENA MARIE MICKLE FNP (NPI 1316509383) is an individual nurse practitioner in Corning, New York, licensed in New York (F344644) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1316509383

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKARLEENA MARIE MICKLECredential: FNP

Location Address1 GUTHRIE DRCorning, NY 14830-3696

Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858

Phone(607) 973-7200

Fax(607) 937-7866

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 1, 2019

Last NPPES UpdateApril 12, 20212 updates tracked since enumeration

NPPES CertifiedApril 12, 2021

✔ NPI 1316509383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · F344644

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.

Also ListedPediatricsTaxonomy 208000000X · License 344644 (NY)

1 GUTHRIE DR, Corning, NY 14830

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karleena Marie Mickle Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315379419

PECOS Enrollment IDI20260225001674

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 Reassignment

Medicare enrollment records show Karleena Mickle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guthrie Medical Group, P.C.

2.0 mi

Multi-Specialty

130 CENTERWAY
Corning, NY 14830

Reassigned Medicare billing, New York and Pennsylvania enrollments
Medicare enrollment name: Guthrie Medical Group PC
Also billed through NPI 1538118732 (Pennsylvania)
798 clinicians in this Medicare group

NPI 1134178635 (607) 936-9971

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14830 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 20

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

LILLIAN A UMBARGER MD

Internal Medicine (Critical Care Medicine)