NIKA KARLSSON DO
NPI 1326615576
Family Medicine in Machias, ME

Active since June 07, 2021PECOS EnrolledAccepts Medicare Assignment
11 HOSPITAL DR, MACHIAS, ME 04654(207) 255-3356 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Jun 7, 2021 (2 updates tracked since 2021).

About Nika Karlsson Do NPPES

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

NIKA KARLSSON DO (NPI 1326615576) is an individual family medicine provider in Machias, Maine, licensed in Maine (DO3934) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of University Of New England, College Of Osteo Medicine (2021).

NPPES Registry Identity

NPI1326615576
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNIKA KARLSSONCredential: DO
Location Address11 HOSPITAL DRMachias, ME 04654-3325
Mailing Address11 Hospital DrMachias, ME 04654-3325 · (207) 255-3356
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2021
Enumeration DateJune 7, 2021
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1326615576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ME · DO3934
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11 HOSPITAL DR, Machias, ME 04654

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

Nika Karlsson Do 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 ID9335549336
PECOS Enrollment IDI20241010003412
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Down East Community Hospital

Critical Access Hospitals · Machias, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201311
Location11 Hospital DriveMachias, ME 04654 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04654 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

Nurse Practitioner (Family)
11 HOSPITAL DR
MACHIAS, ME 04654
Occupational Therapist
11 HOSPITAL DR
MACHIAS, ME 04654
Physical Therapist
11 HOSPITAL DR
MACHIAS, ME 04654
Speech-Language Pathologist
11 HOSPITAL DR
MACHIAS, ME 04654
Physician Assistant
11 HOSPITAL DR
MACHIAS, ME 04654
Radiology (Diagnostic Radiology)
11 HOSPITAL DR
MACHIAS, ME 04654
Emergency Medicine
11 HOSPITAL DR
MACHIAS, ME 04654
Emergency Medicine
11 HOSPITAL DR
MACHIAS, ME 04654

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 Nika Karlsson's NPI number?

The NPI number for Nika Karlsson is 1326615576. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Nika Karlsson located?

Nika Karlsson practices at 11 Hospital Dr, Machias, ME 04654. The listed phone number is (207) 255-3356.

What is Nika Karlsson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nika Karlsson enrolled in Medicare?

Yes. Nika Karlsson 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 Nika Karlsson affiliated with any hospitals?

According to CMS data, Nika Karlsson is affiliated with Northern Light Health and Down East Community Hospital.

When was this NPI record last updated?

The NPPES record for Nika Karlsson was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.