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MS. KAREN LOUISE MALLOW CNP
NPI 1396786034
Nurse Practitioner in Morgantown, WV

Active since June 10, 2006PECOS Enrolled
30 MON HEALTH DRIVE, MORGANTOWN, WV 26505(337) 991-9276(337) 943-0846 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 7, 2023, Feb 4, 2019, Feb 1, 2019 and 1 more (4 updates tracked since 2018).

About Ms. Karen Louise Mallow Cnp NPPES

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

MS. KAREN LOUISE MALLOW CNP (NPI 1396786034) is an individual nurse practitioner in Morgantown, West Virginia, licensed in West Virginia (APRN99622) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1396786034
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KAREN LOUISE MALLOWCredential: CNP
Location Address30 MON HEALTH DRIVEMorgantown, WV 26505-2853
Mailing Address1509 Dulles DrLafayette, LA 70506-3718 · (337) 991-9276 · Fax (337) 943-0846
Phone(337) 991-9276
Fax(337) 943-0846
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 10, 2006
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
✔ NPI 1396786034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in WV · APRN99622✔ Licensed in VA · 0024174910
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License NP 01828 (OH)
30 MON HEALTH DRIVE, Morgantown, WV 26505
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Other Identifiers 4

Other341847368040OH · Caresource
Other000000553547OH · Anthem
Medicaid2321722OH
Medicaid1396786034WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Karen Louise Mallow Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537168398
PECOS Enrollment IDI20180713000341
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 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
80 services16 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
42 services14 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 4

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

MRS. SHERRI DAWN ARTHUR FNP-BC
Nurse Practitioner (Family)
30 MON HEALTH DRIVE
MORGANTOWN, WV 26505
Monongalia County (337) 991-9276
MS. ELYSIA L STONEM MSN, AG-ACNP-BC
Nurse Practitioner (Acute Care)
30 MON HEALTH DRIVE
MORGANTOWN, WV 26505
Monongalia County (337) 991-9276
MISS LISA LAINE LEPERA APRN, AGPCNP-BC
Nurse Practitioner (Acute Care)
30 MON HEALTH DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 285-2720
MRS. LINDSEY BOWLES FNP-C
Nurse Practitioner (Family)
30 MON HEALTH DRIVE
MORGANTOWN, WV 26505
Monongalia County (337) 991-9276

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 Mallow's NPI number?

The NPI number for Karen Mallow is 1396786034. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Karen Mallow located?

Karen Mallow practices at 30 Mon Health Drive, Morgantown, WV 26505. The listed phone number is (337) 991-9276.

What is Karen Mallow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karen Mallow enrolled in Medicare?

Yes. Karen Mallow is registered in the Medicare PECOS enrollment system.

What insurance does Karen Mallow accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Karen Mallow 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.

Is Karen Mallow affiliated with any hospitals?

According to CMS data, Karen Mallow is affiliated with Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Mallow was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.