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KAREN ROY NP
NPI 1427238500
Nurse Practitioner - Gerontology in Middletown, CT

Active since November 06, 2007PECOS Enrolled
1000 SILVER STREET, MIDDLETOWN, CT 06475(860) 262-5140(860) 262-6525 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karen Roy Np NPPES

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

KAREN ROY NP (NPI 1427238500) is an individual gerontology provider in Middletown, Connecticut, licensed in Connecticut (3719) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427238500
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKAREN ROYCredential: NP
Location Address1000 SILVER STREETMiddletown, CT 06475-4214
Mailing Address28 Crescent StMiddletown, CT 06457-3650 · (860) 235-5375 · Fax (860) 262-6525
Phone(860) 262-5140
Fax(860) 262-6525
Sole ProprietorYes
Enumeration DateNovember 6, 2007
Last NPPES UpdateDecember 1, 2023
NPPES CertifiedDecember 1, 2023
✔ NPI 1427238500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CT · 3719
1000 SILVER STREET, Middletown, CT 06475
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Roy 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 Reassignments

2

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

State Of Connecticut
0.1 mi
Psychiatric Hospital
1000 SILVER STREET
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 89 clinicians in this Medicare group
NPI 1245256247 (860) 262-7153
Step Up Care PC LLC
43 mi
Counselor
111 WESTCOTT RD
Danielson, CT 06239
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 clinicians in this Medicare group
NPI 1154884740 (718) 298-4375

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 06475 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%128 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Roy's NPI number?

The NPI number for Karen Roy is 1427238500. It was assigned to this individual provider in the NPPES registry on November 6, 2007.

Where is Karen Roy located?

Karen Roy practices at 1000 Silver Street, Middletown, CT 06475. The listed phone number is (860) 262-5140.

What is Karen Roy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Karen Roy enrolled in Medicare?

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

Which organizations bill Medicare for Karen Roy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Roy reassigns Medicare benefits to 2 organizations: State Of Connecticut (Middletown, CT) and Step Up Care PC LLC (Danielson, CT). 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 Roy'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 Roy was last updated on December 1, 2023. 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.