MRS. KAREN ASHLEY MCDANIEL FNP-C
NPI 1386198869
Nurse Practitioner - Family in Tifton, GA

Q: What is Karen Mcdaniel's NPI number?

The NPI number for Karen Mcdaniel is 1386198869. It was assigned to this individual provider in the NPPES registry on August 12, 2016.

Q: What is Karen Mcdaniel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karen Mcdaniel was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 12, 2016PECOS EnrolledAccepts Medicare Assignment

78.41/100

CMS Quality Rating

2225 US HIGHWAY 41 N, TIFTON, GA 31794(229) 391-4100 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 12, 2021, Aug 12, 2016 (2 updates tracked since 2016).

On this page

About Mrs. Karen Ashley Mcdaniel Fnp-c NPPES

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

MRS. KAREN ASHLEY MCDANIEL FNP-C (NPI 1386198869) is an individual family provider in Tifton, Georgia, licensed in Georgia (RN207602) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386198869

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KAREN ASHLEY MCDANIELCredential: FNP-C

Location Address2225 US HIGHWAY 41 NTifton, GA 31794-2749

Mailing Address2225 Us Highway 41 NTifton, GA 31794-2749 · (229) 391-4100 · Fax (229) 892-1986

Phone(229) 391-4100

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 12, 2016

Last NPPES UpdateJanuary 12, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2021

✔ NPI 1386198869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN207602

2225 US HIGHWAY 41 N, Tifton, GA 31794

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1172 Mj Taylor RdAdel, GA 31620-3497 · Phone (229) 896-8500

Location 21401 S Main StMoultrie, GA 31768-5811 · Phone (229) 891-3513 · Fax (229) 892-1986

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Mrs. Karen Ashley Mcdaniel Fnp-c 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 ID42506719

PECOS Enrollment IDI20160906001760

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 6

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

104 services49 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

101 services46 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

71 services26 patients

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.

50 services42 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110095

Location901 E 18th StreetTifton, GA 31793 · Tift County

Emergency services Birthing friendly

Archbold Brooks

Critical Access Hospitals · Quitman, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111332

Location903 N Court StreetQuitman, GA 31643 · Brooks County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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.

78.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

58.68

Promoting Interoperability

100

Improvement Activities

Cost

66.15

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.

BENJAMIN R HESS MD

Family Medicine