Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAREN VAUGHAN
NPI 1376022376
Nurse Practitioner - Family in Montgomery, AL

Active since August 09, 2018PECOS EnrolledAccepts Medicare Assignment
2119 E SOUTH BLVD STE 200, MONTGOMERY, AL 36116(334) 747-7070 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2026, Mar 14, 2020, Aug 9, 2018 (3 updates tracked since 2018).

About Karen Vaughan NPPES

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

KAREN VAUGHAN (NPI 1376022376) is an individual family provider in Montgomery, Alabama, licensed in Alabama (1-104585) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376022376
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN VAUGHAN
Location Address2119 E SOUTH BLVD STE 200Montgomery, AL 36116-2496
Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 9, 2018
Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1376022376 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 AL · 1-104585
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-104585 (AL)
2119 E SOUTH BLVD STE 200, Montgomery, AL 36116

Secondary Practice Locations 2

Location 1400 Taylor RdMontgomery, AL 36117-3512 · Phone (334) 277-8330
Location 22034 Chestnut StMontgomery, AL 36106-1111 · Phone (334) 269-0212

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

Karen Vaughan 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 ID648521781
PECOS Enrollment IDI20180928000595
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

2

Medicare enrollment records show Karen Vaughan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
2034 CHESTNUT ST
Montgomery, AL 36106
  • Reassigned Medicare billing, Alabama enrollment
  • 12 clinicians in this Medicare group
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Alabama enrollment
  • 428 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.

Areas of Expertise CMS Part B claims 2

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.
118 services73 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 11

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

Nurse Practitioner (Family)
2119 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116
Nurse Practitioner (Family)
2119 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116
Nurse Practitioner
2119 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116
Occupational Therapist
2119 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116
Nurse Practitioner (Family)
2119 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116
Nurse Practitioner
2119 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116
Nurse Practitioner (Family)
2119 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2119 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116

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 Karen Vaughan's NPI number?

The NPI number for Karen Vaughan is 1376022376. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Where is Karen Vaughan located?

Karen Vaughan practices at 2119 E South Blvd Ste 200, Montgomery, AL 36116. The listed phone number is (334) 747-7070.

What is Karen Vaughan's specialty?

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

Is Karen Vaughan enrolled in Medicare?

Yes. Karen Vaughan 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 Karen Vaughan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Vaughan reassigns Medicare benefits to 2 organizations: Montgomery Kidney Specialists, LLP (Montgomery, AL) and Hospital Physician Services - Southeast Professional Corporation (Monroe, GA). 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 Karen Vaughan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Vaughan accept?

Health plans from Blue Cross and Blue Shield of Alabama list Karen Vaughan 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 Karen Vaughan was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.