KAREN JOYCE ENGLUND MD
NPI 1407872591
Family Medicine in Belvidere, IL

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
1954 GATEWAY CENTER DR, BELVIDERE, IL 61008(815) 547-3780(815) 547-3781 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karen Joyce Englund Md NPPES

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

KAREN JOYCE ENGLUND MD (NPI 1407872591) is an individual family medicine provider in Belvidere, Illinois, licensed in Illinois (036067020) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Illinois Medical College (1982).

NPPES Registry Identity

NPI1407872591
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN JOYCE ENGLUNDCredential: MD
Location Address1954 GATEWAY CENTER DRBelvidere, IL 61008-9303
Mailing Address1954 Gateway Center DrBelvidere, IL 61008-9303 · (815) 547-3780 · Fax (815) 547-3781
Fax(815) 547-3781
Sole ProprietorNo
Medical School CMSIllinois Medical CollegeGraduated 1982
Enumeration DateJuly 14, 2006
Last NPPES UpdateOctober 16, 2014
✔ NPI 1407872591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036067020
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1954 GATEWAY CENTER DR, Belvidere, IL 61008

Other Names 1

Former Name (1)Karen Joyce Wilson

Other Identifiers 8

Medicare ID-Type UnspecifiedCC5050IL · Rr Medicare Group #
Medicare ID-Type UnspecifiedL36983IL
Other553180IL · Medicare Group Ptan
Medicare ID-Type Unspecified834340IL · Medicare Group #
Medicaid036067020IL
Medicare UPINC42742IL
Medicare ID-Type UnspecifiedP00088445IL · Rr Individual #
Medicare PIN5531800018IL

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 Joyce Englund Md 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 ID9032274287
PECOS Enrollment IDI20090223000311
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 Reassignments

2

Medicare enrollment records show Karen Englund reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
6830 VILLAGREEN VW
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • 67 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 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 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.

Inhalation treatment for airway obstruction or sputum production 94640
Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.
17 services16 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61008 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Internal Medicine
1954 GATEWAY CENTER DR
BELVIDERE, IL 61008
Nurse Practitioner
1954 GATEWAY CENTER DR
BELVIDERE, IL 61008
Family Medicine
1954 GATEWAY CENTER DR
BELVIDERE, IL 61008
Family Medicine
1954 GATEWAY CENTER DR
BELVIDERE, IL 61008

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 Englund's NPI number?

The NPI number for Karen Englund is 1407872591. It was assigned to this individual provider in the NPPES registry on July 14, 2006. The provider is also known as Karen Joyce Wilson.

Where is Karen Englund located?

Karen Englund practices at 1954 Gateway Center Dr, Belvidere, IL 61008. The listed phone number is (815) 547-3780.

What is Karen Englund's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karen Englund enrolled in Medicare?

Yes. Karen Englund 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 organizations bill Medicare for Karen Englund's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Englund reassigns Medicare benefits to 2 organizations: Saint Anthony Medical Center (Rockford, IL) and Osf Multi-Specialty Group (Peoria, IL). Each 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 Englund's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Englund accept?

Health plans from Dean Health Plan list Karen Englund 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 Englund affiliated with any hospitals?

According to CMS data, Karen Englund is affiliated with Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Englund was last updated on October 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.