MRS. KAREN GISELLE REYES APRN
NPI 1518565894
Nurse Practitioner - Primary Care in Boynton Beach, FL

Active since October 09, 2020PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1800 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33426(561) 737-8584 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Apr 7, 2022, Mar 7, 2022 and 1 more (4 updates tracked since 2020).

About Mrs. Karen Giselle Reyes Aprn NPPES

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

MRS. KAREN GISELLE REYES APRN (NPI 1518565894) is an individual primary care provider in Boynton Beach, Florida, licensed in Florida (11009545) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Nova Southeastern College Of Osteo Medicine (2020).

NPPES Registry Identity

NPI1518565894
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. KAREN GISELLE REYESCredential: APRN
Location Address1800 W WOOLBRIGHT RDBoynton Beach, FL 33426-6398
Mailing Address1800 W Woolbright RdBoynton Beach, FL 33426-6398 · (561) 737-8584
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2020
Enumeration DateOctober 9, 2020
Last NPPES UpdateDecember 9, 20244 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
NPI 1518565894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in FL · 11009545
1800 W WOOLBRIGHT RD, Boynton Beach, FL 33426

Accepted 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

Mrs. Karen Giselle Reyes Aprn 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 ID6709285034
PECOS Enrollment IDI20210519000153
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 12

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
528 services395 patients
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.
468 services389 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
265 services209 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
213 services181 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
199 services199 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
88 services88 patients

Hospital Affiliations CMS Care Compare

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100002
Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33426 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 12

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

Physical Therapist
1800 W WOOLBRIGHT RD, SUITE 101
BOYNTON BEACH, FL 33426
Physical Therapist
1800 W WOOLBRIGHT RD, SUITE 101
BOYNTON BEACH, FL 33426
Otolaryngology (Otology & Neurotology)
1800 W WOOLBRIGHT RD, SUITE 201
BOYNTON BEACH, FL 33426
Physical Therapist
1800 W WOOLBRIGHT RD, SUITE 101
BOYNTON BEACH, FL 33426
Physical Therapist
1800 W WOOLBRIGHT RD, SUITE 101
BOYNTON BEACH, FL 33426
Radiology (Diagnostic Radiology)
1800 W WOOLBRIGHT RD, SUITE 100
BOYNTON BEACH, FL 33426
Audiologist
1800 W WOOLBRIGHT RD, SUITE 201
BOYNTON BEACH, FL 33426
Hearing Instrument Specialist
1800 W WOOLBRIGHT RD, STE 201
BOYNTON BEACH, FL 33426

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 Reyes's NPI number?

The NPI number for Karen Reyes is 1518565894. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Karen Reyes located?

Karen Reyes practices at 1800 W Woolbright Rd, Boynton Beach, FL 33426. The listed phone number is (561) 737-8584.

What is Karen Reyes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Karen Reyes enrolled in Medicare?

Yes. Karen Reyes 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 Reyes accept?

Health plans from AvMed and UnitedHealthcare list Karen Reyes 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 Reyes affiliated with any hospitals?

According to CMS data, Karen Reyes is affiliated with Bethesda Hospital Inc.

When was this NPI record last updated?

The NPPES record for Karen Reyes was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.