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

Active since August 09, 2018PECOS EnrolledAccepts Medicare Assignment
400 TAYLOR RD, MONTGOMERY, AL 36117(334) 277-8330 Get Directions Write a Review

NPPES record last updated: March 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2020, Aug 9, 2018 (2 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 and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376022376
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN VAUGHAN
Location Address400 TAYLOR RDMontgomery, AL 36117-3512
Mailing Address2034 Chestnut StMontgomery, AL 36106-1111 · (334) 269-0212
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 9, 2018
Last NPPES UpdateMarch 14, 20202 updates tracked since enumeration
NPPES CertifiedMarch 14, 2020
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)
400 TAYLOR RD, Montgomery, AL 36117

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

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.

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 36117 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 20

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

Physician Assistant
400 TAYLOR RD
MONTGOMERY, AL 36117
Internal Medicine
400 TAYLOR RD
MONTGOMERY, AL 36117
Nurse Practitioner (Neonatal, Critical Care)
400 TAYLOR RD
MONTGOMERY, AL 36117
Nurse Practitioner
400 TAYLOR RD
MONTGOMERY, AL 36117
Physician Assistant (Medical)
400 TAYLOR RD
MONTGOMERY, AL 36117
Nurse Anesthetist, Certified Registered
400 TAYLOR RD
MONTGOMERY, AL 36117
Nurse Practitioner (Family)
400 TAYLOR RD
MONTGOMERY, AL 36117
General Acute Care Hospital
400 TAYLOR RD
MONTGOMERY, AL 36117

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 400 Taylor Rd, Montgomery, AL 36117. The listed phone number is (334) 277-8330.

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.

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 March 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.