KARINA HENRIQUEZ M.D.
NPI 1326201484
Hospitalist in Lewistown, PA

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment
400 HIGHLAND AVE, LEWISTOWN, PA 17044(717) 242-7040 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2024, Aug 21, 2020, Feb 5, 2020 and 4 more (7 updates tracked since 2017).

About Karina Henriquez M.d. NPPES

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

KARINA HENRIQUEZ M.D. (NPI 1326201484) is an individual hospitalist provider in Lewistown, Pennsylvania, licensed in Pennsylvania (MD448371) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and maintains a secondary practice location in Waynesboro.

NPPES Registry Identity

NPI1326201484
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameKARINA HENRIQUEZCredential: M.D.
Location Address400 HIGHLAND AVELewistown, PA 17044-1167
Mailing Address100 N Academy Ave # Mc4903Danville, PA 17822-9800 · (570) 271-6144
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 8, 2008
Last NPPES UpdateApril 29, 20257 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
NPI 1326201484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in PA · MD448371
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD448371 (PA), 098923 (OH), 25MA08993000 (NJ)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License MD448371 (PA)
400 HIGHLAND AVE, Lewistown, PA 17044

Secondary Practice Location 1

Location 1501 E Main StWaynesboro, PA 17268-2353 · Phone (717) 765-4000 · Fax (717) 765-3669

Other Identifiers 1

Medicaid102846079PA

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

Karina Henriquez 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 ID1355517814
PECOS Enrollment IDI20130909000248
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 11

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
239 services226 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.
187 services181 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.
120 services117 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
68 services68 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
48 services48 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
40 services40 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390048
Location400 Highland AvenueLewistown, PA 17044 · Mifflin County
Emergency services Birthing friendly

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390138
Location501 East Main StWaynesboro, PA 17268 · Franklin County
Emergency services

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Geisinger Jersey Shore Hospital

Critical Access Hospitals · Jersey Shore, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391300
Location1020 Thompson StreetJersey Shore, PA 17740 · Lycoming County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17044 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers104 claims104 services$42.79 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
21 suppliers474 claims474 services$109.95 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
20 suppliers448 claims1,003 services$41.80 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers172 claims686 services$23.48 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers118 claims526 services$17.28 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
16 suppliers312 claims312 services$69.35 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 20

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

Dietitian, Registered
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Physician Assistant
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Radiology (Diagnostic Ultrasound)
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Emergency Medicine
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Home Health
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Emergency Medicine
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Pharmacist
400 HIGHLAND AVE
LEWISTOWN, PA 17044
Family Medicine
400 HIGHLAND AVE
LEWISTOWN, PA 17044

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 Karina Henriquez's NPI number?

The NPI number for Karina Henriquez is 1326201484. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Karina Henriquez located?

Karina Henriquez practices at 400 Highland Ave, Lewistown, PA 17044. The listed phone number is (717) 242-7040.

What is Karina Henriquez's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Karina Henriquez enrolled in Medicare?

Yes. Karina Henriquez 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 Karina Henriquez affiliated with any hospitals?

According to CMS data, Karina Henriquez is affiliated with Geisinger Medical Center, Geisinger-Lewistown Hospital, Wellspan Waynesboro Hospital, Wellspan Chambersburg Hospital and Geisinger Jersey Shore Hospital.

When was this NPI record last updated?

The NPPES record for Karina Henriquez was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.