KAREN MCLAUGHLIN NP
NPI 1376926824
Nurse Practitioner - Family in Stamford, CT
About Karen Mclaughlin Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN MCLAUGHLIN NP (NPI 1376926824) is an individual family provider in Stamford, Connecticut, licensed in New York (339549) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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 Mclaughlin 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.
Medicare Billing Reassignment
Medicare enrollment records show Karen Mclaughlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stamford, CT 06907
- Reassigned Medicare billing, Connecticut enrollment
- 496 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 12
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 06902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
STAMFORD, CT 06902
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 Mclaughlin's NPI number?
The NPI number for Karen Mclaughlin is 1376926824. It was assigned to this individual provider in the NPPES registry on July 1, 2015.
Where is Karen Mclaughlin located?
Karen Mclaughlin practices at 292 Long Ridge Rd Ste 104, Stamford, CT 06902. The listed phone number is (203) 276-8575.
What is Karen Mclaughlin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Karen Mclaughlin enrolled in Medicare?
Yes. Karen Mclaughlin 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 organization bills Medicare for Karen Mclaughlin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Mclaughlin reassigns Medicare benefits to Stamford Health Medical Group Inc (Stamford, CT). The 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 Mclaughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Mclaughlin accept?
Health plans from Anthem Blue Cross and Blue Shield list Karen Mclaughlin 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 Mclaughlin was last updated on July 1, 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.
# Karen Mclaughlin, NP · NPI 1376926824
Family physician in Stamford, Connecticut. Individual provider, active in the CMS NPPES registry since July 1, 2015.
## Identity
- **NPI:** 1376926824 (Entity type: Individual)
- **Enumerated:** July 1, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 339549 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 292 LONG RIDGE RD STE 104, Stamford, CT 06902-1627
- **Phone:** (203) 276-8575
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stamford Health Medical Group Inc (NPI 1154633980, Stamford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1376926824) · Data from the CMS NPPES public registry.