KAREN VAUGHAN
NPI 1376022376
Nurse Practitioner - Family in Montgomery, AL
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
Specialties & Licenses 2
Secondary Practice Locations 2
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.
Medicare Billing Reassignments
2Medicare 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.
Montgomery, AL 36106
- Reassigned Medicare billing, Alabama enrollment
- 12 clinicians in this Medicare group
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.
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.
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.
MONTGOMERY, AL 36116
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.