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KAREN STOUGHTON MSN, FNP-C
NPI 1477952075
Nurse Practitioner in Portland, ME

Active since August 19, 2014PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
887 CONGRESS ST, PORTLAND, ME 04102(207) 774-6368 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2021, Dec 23, 2019, Dec 15, 2016 (3 updates tracked since 2016).

About Karen Stoughton Msn, Fnp-c NPPES

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

KAREN STOUGHTON MSN, FNP-C (NPI 1477952075) is an individual nurse practitioner in Portland, Maine, licensed in Maine (CNP141024) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1477952075
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN STOUGHTONCredential: MSN, FNP-C
Location Address887 CONGRESS STPortland, ME 04102-3100
Mailing Address887 Congress StPortland, ME 04102-3100 · (207) 774-6368
Phone(207) 774-6368
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 19, 2014
Last NPPES UpdateJuly 15, 20213 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1477952075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ME · CNP141024
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.
887 CONGRESS ST, Portland, ME 04102
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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

Karen Stoughton Msn, 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 ID2567683394
PECOS Enrollment IDI20141021000829
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

MS. NICOLE L. MIZNER C.P.N.P.
Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 310
PORTLAND, ME 04102
Cumberland County (207) 773-2723
KENNETH LOMBARD M.D.
Pediatrics (Pediatric Gastroenterology)
887 CONGRESS ST, SUITE 410B
PORTLAND, ME 04102
Cumberland County (207) 662-5522
JANICE M STILKEY PNP
Nurse Practitioner (Pediatrics)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522
LESLIE S WU MD
Surgery
887 CONGRESS ST, SUITE 400
PORTLAND, ME 04102
Cumberland County (207) 774-6368
ANNE C COATES M.D.
Pediatrics (Pediatric Pulmonology)
887 CONGRESS ST, SUITE 320
PORTLANAD, ME 04102
Cumberland County (207) 662-5522
MARIE H TANZER MD
Pediatrics (Pediatric Nephrology)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522
MAINEHEALTH
Obstetrics & Gynecology (Maternal & Fetal Medicine)
887 CONGRESS ST, SUITE 200
PORTLAND, ME 04102
Cumberland County (207) 771-5549
DR. COLBY A WYATT MD PHD
Pediatrics (Pediatric Pulmonology)
887 CONGRESS ST, SUITE 320
PORTLAND, ME 04102
Cumberland County (207) 662-5522

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 Stoughton's NPI number?

The NPI number for Karen Stoughton is 1477952075. It was assigned to this individual provider in the NPPES registry on August 19, 2014.

Where is Karen Stoughton located?

Karen Stoughton practices at 887 Congress St, Portland, ME 04102. The listed phone number is (207) 774-6368.

What is Karen Stoughton's specialty?

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

Is Karen Stoughton enrolled in Medicare?

Yes. Karen Stoughton 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.

Is Karen Stoughton affiliated with any hospitals?

According to CMS data, Karen Stoughton is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Stoughton was last updated on July 15, 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.