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KAREN BARICAUA BAUTISTA MSN, FNP-C, RN-BC
NPI 1487251377
Nurse Practitioner - Family in Lubbock, TX

Active since October 05, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1912 78TH ST, LUBBOCK, TX 79423(806) 283-6309 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Karen Baricaua Bautista Msn, Fnp-c, Rn-bc NPPES

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

KAREN BARICAUA BAUTISTA MSN, FNP-C, RN-BC (NPI 1487251377) is an individual family provider in Lubbock, Texas, licensed in Texas (1015390) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with University Medical Center, and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1487251377
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN BARICAUA BAUTISTACredential: MSN, FNP-C, RN-BC
Location Address1912 78TH STLubbock, TX 79423-2455
Mailing Address1912 78th StLubbock, TX 79423-2455 · (806) 283-6309
Phone(806) 283-6309
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 5, 2020
NPPES CertifiedSeptember 15, 2020
✔ NPI 1487251377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1015390
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 1015390 (TX)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 1015390 (TX)
1912 78TH ST, Lubbock, TX 79423
Open in Google Maps ↗

Secondary Practice Location 1

Location 11912 78th StLubbock, TX 79423-2455 · Phone 806283309

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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 Baricaua Bautista Msn, Fnp-c, Rn-bc 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 ID1254726110
PECOS Enrollment IDI20220312000093
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
30 services29 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
22 services21 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79423 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
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 Bautista's NPI number?

The NPI number for Karen Bautista is 1487251377. It was assigned to this individual provider in the NPPES registry on October 5, 2020.

Where is Karen Bautista located?

Karen Bautista practices at 1912 78th St, Lubbock, TX 79423. The listed phone number is (806) 283-6309.

What is Karen Bautista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Bautista enrolled in Medicare?

Yes. Karen Bautista 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.

What insurance does Karen Bautista accept?

Health plans from Blue Cross and Blue Shield of Texas list Karen Bautista 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 Bautista affiliated with any hospitals?

According to CMS data, Karen Bautista is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Bautista was last updated on October 5, 2020. 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.