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KAREN D MIDDEL -JONES NP
NPI 1396293122
Nurse Practitioner - Adult Health in Oakdale, NY

Active since September 21, 2016PECOS Enrolled
91.25/100
CMS Quality Rating
27 CHATEAU DR, OAKDALE, NY 11769(631) 926-1691 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2024, Aug 15, 2022, Jun 25, 2021 and 2 more (5 updates tracked since 2016).

About Karen D Middel -jones Np NPPES

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

KAREN D MIDDEL -JONES NP (NPI 1396293122) is an individual adult health provider in Oakdale, New York, licensed in New York (307366) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in East Setauket.

NPPES Registry Identity

NPI1396293122
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKAREN D MIDDEL -JONESCredential: NP
Location Address27 CHATEAU DROakdale, NY 11769-1105
Mailing Address27 Chateau DrOakdale, NY 11769-1105 · (631) 926-1691
Phone(631) 926-1691
Sole ProprietorNo
Enumeration DateSeptember 21, 2016
Last NPPES UpdateJuly 8, 20245 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1396293122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 307366
27 CHATEAU DR, Oakdale, NY 11769
Open in Google Maps ↗

Secondary Practice Location 1

Location 1210 N Belle Mead RdEast Setauket, NY 11733-3522 · Phone (631) 689-1400 · Fax (631) 689-8916

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen D Middel -jones Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Karen Middel -jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harbor View Medical Services PC
11 mi
Cardiovascular Disease
210 N BELLE MEAD RD
East Setauket, NY 11733
  • Reassigned Medicare billing, New York enrollment
  • 68 clinicians in this Medicare group
NPI 1922364181 (631) 686-7890

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11769 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Middel -jones's NPI number?

The NPI number for Karen Middel -jones is 1396293122. It was assigned to this individual provider in the NPPES registry on September 21, 2016.

Where is Karen Middel -jones located?

Karen Middel -jones practices at 27 Chateau Dr, Oakdale, NY 11769. The listed phone number is (631) 926-1691.

What is Karen Middel -jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Karen Middel -jones enrolled in Medicare?

Yes. Karen Middel -jones is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Middel -jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Middel -jones reassigns Medicare benefits to Harbor View Medical Services PC (East Setauket, NY). 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 Middel -jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Middel -jones was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.