DR. HEIDI N KARLE DNP, PMHNP-BC
NPI 1326709890
Nurse Practitioner - Psychiatric/Mental Health in Mason, OH

Active since January 06, 2022PECOS EnrolledAccepts Medicare Assignment
3615 SOCIALVILLE FOSTER RD STE C, MASON, OH 45040(513) 204-1910 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2022, Jan 6, 2022 (2 updates tracked since 2022).

About Dr. Heidi N Karle Dnp, Pmhnp-bc NPPES

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

DR. HEIDI N KARLE DNP, PMHNP-BC (NPI 1326709890) is an individual psychiatric/mental health provider in Mason, Ohio, licensed in Ohio (APRN.CNP.0032728) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fairfield Twp, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1326709890
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. HEIDI N KARLECredential: DNP, PMHNP-BC
Location Address3615 SOCIALVILLE FOSTER RD STE CMason, OH 45040-9054
Mailing Address3419 Elbert DrFairfield Twp, OH 45011-6638 · (513) 256-9611
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 6, 2022
Last NPPES UpdateFebruary 29, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
✔ NPI 1326709890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0032728
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN.319022 (OH)
3615 SOCIALVILLE FOSTER RD STE C, Mason, OH 45040

Secondary Practice Location 1

Location 13419 Elbert DrFairfield Twp, OH 45011-6638 · Phone (513) 256-9611

Accepted 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

Dr. Heidi N Karle Dnp, Pmhnp-bc 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 ID6204289721
PECOS Enrollment IDI20240131001828
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

3

Medicare enrollment records show Heidi Karle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
3615 SOCIALVILLE FOSTER RD, SUTIES A B C D
Mason, OH 45040
  • Reassigned Medicare billing, Ohio enrollment
  • 31 clinicians in this Medicare group
Psychiatric/Mental Health
7182 LIBERTY CENTRE DR STE Q
West Chester, OH 45069
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
Venvisor Health Ohio LLC
  • Reassigned Medicare billing, Ohio enrollment
  • 34 clinicians in this Medicare group

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 45040 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

Clinical Nurse Specialist (Psychiatric/Mental Health, Geropsychiatric)
3615 SOCIALVILLE FOSTER RD STE C
MASON, OH 45040
Nurse Practitioner (Psychiatric/Mental Health)
3615 SOCIALVILLE FOSTER RD STE C
MASON, OH 45040
Nurse Practitioner (Psychiatric/Mental Health)
3615 SOCIALVILLE FOSTER RD STE C
MASON, OH 45040

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 Heidi Karle's NPI number?

The NPI number for Heidi Karle is 1326709890. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Heidi Karle located?

Heidi Karle practices at 3615 Socialville Foster Rd Ste C, Mason, OH 45040. The listed phone number is (513) 204-1910.

What is Heidi Karle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Heidi Karle enrolled in Medicare?

Yes. Heidi Karle 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 Heidi Karle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Karle reassigns Medicare benefits to 3 organizations: Lee Side Wellness Associates, LLC (Mason, OH), Elevated Horizons Therapeutics LLC (West Chester, OH) and Venvisor Health Ohio LLC (OH). 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 Heidi Karle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heidi Karle accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Heidi Karle 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.

When was this NPI record last updated?

The NPPES record for Heidi Karle was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.