KARLA M BARONE NP
NPI 1356660591
Nurse Practitioner - Family in Newark, DE

Active since May 27, 2010PECOS EnrolledAccepts Medicare Assignment
4735 OGLETOWN STANTON RD, MAP 2, SUITE 3301, NEWARK, DE 19713(302) 623-4370(302) 623-4375 Get Directions Write a Review

NPPES record last updated: December 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karla M Barone Np NPPES

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

KARLA M BARONE NP (NPI 1356660591) is an individual family provider in Newark, Delaware, licensed in Delaware (LG-0000516) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1356660591
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARLA M BARONECredential: NP
Location Address4735 OGLETOWN STANTON RD, MAP 2, SUITE 3301Newark, DE 19713-2072
Mailing Address200 Hygeia Dr, Suite 2502Newark, DE 19713-2049
Fax(302) 623-4375
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 27, 2010
Last NPPES UpdateDecember 20, 2010
NPI 1356660591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in DE · LG-0000516
Also ListedNurse PractitionerTaxonomy 363L00000X · License LG-0000516 (DE)
4735 OGLETOWN STANTON RD, Newark, DE 19713

Other Names 1

Former Name (1)Karla M Hickman

Other Identifiers 1

Medicare PIN193260YXSDE

Accepted Insurance

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

Karla M Barone Np 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 ID8022205228
PECOS Enrollment IDI20101214001055
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
206 services199 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
192 services192 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.
80 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Physician Assistant (Surgical)
4735 OGLETOWN STANTON RD, MAP II, STE 2121
NEWARK, DE 19713
Dentist (General Practice)
4735 OGLETOWN STANTON RD, SUITE 1101
NEWARK, DE 19713
Obstetrics & Gynecology
4735 OGLETOWN STANTON RD, SUITE 2300
NEWARK, DE 19713
Social Worker (Clinical)
4735 OGLETOWN STANTON RD, MAP 2, SUITE 1250
NEWARK, DE 19713
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
4735 OGLETOWN STANTON RD, SUITE 1208
NEWARK, DE 19713
Pediatrics
4735 OGLETOWN STANTON RD, M.A.P. #2, SUITE 1116
NEWARK, DE 19713
Surgery (Vascular Surgery)
4735 OGLETOWN STANTON RD, MEDICAL ARTS PAVILION 2 SUITE 1208
NEWARK, DE 19713
Nurse Practitioner (Family)
4735 OGLETOWN STANTON RD, MAPII SUITE 2123
NEWARK, DE 19713

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 Karla Barone's NPI number?

The NPI number for Karla Barone is 1356660591. It was assigned to this individual provider in the NPPES registry on May 27, 2010. The provider is also known as Karla M Hickman.

Where is Karla Barone located?

Karla Barone practices at 4735 Ogletown Stanton Rd Map 2, Suite 3301, Newark, DE 19713. The listed phone number is (302) 623-4370.

What is Karla Barone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karla Barone enrolled in Medicare?

Yes. Karla Barone 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.

What insurance does Karla Barone accept?

Health plans from AmeriHealth Caritas Next list Karla Barone 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 Karla Barone was last updated on December 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.