KAREN A FLEMING CFNP
NPI 1538361027
Nurse Practitioner in Greenville, MS

Active since June 05, 2007PECOS EnrolledAccepts Medicare Assignment
80.88/100
CMS Quality Rating
129 E STARLING ST, GREENVILLE, MS 38701(662) 378-1311 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen A Fleming Cfnp NPPES

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

KAREN A FLEMING CFNP (NPI 1538361027) is an individual nurse practitioner in Greenville, Mississippi, licensed in Mississippi (R764061) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Delta Health System - The Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1538361027
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN A FLEMINGCredential: CFNP
Location Address129 E STARLING STGreenville, MS 38701-4725
Mailing AddressPo Box 5247Greenville, MS 38704-5247 · (662) 725-2749 · Fax (662) 725-2741
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 5, 2007
Last NPPES UpdateMay 15, 2008
NPI 1538361027 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 MS · R764061
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.
129 E STARLING ST, Greenville, MS 38701

Other Identifiers 3

Medicaid1033839LA
Medicaid08820505MS
Medicare PIN500021491MS

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

Karen A Fleming Cfnp 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 ID8426149543
PECOS Enrollment IDI20070803000373
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 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.
75 services67 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.
67 services63 patients
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.
47 services47 patients

Hospital Affiliations CMS Care Compare

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

Delta Health System - The Medical Center

Acute Care Hospitals · Greenville, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250082
Location1400 E Union Street / PO Box 5247Greenville, MS 38704 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38701 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

80.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability70
Improvement Activities40

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.

Obstetrics & Gynecology
129 E STARLING ST, SUITE C
GREENVILLE, MS 38701
Clinic/Center
129 E STARLING ST
GREENVILLE, MS 38701
Obstetrics & Gynecology
129 E STARLING ST
GREENVILLE, MS 38701
Specialist
129 E STARLING ST
GREENVILLE, MS 38701

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 Fleming's NPI number?

The NPI number for Karen Fleming is 1538361027. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Karen Fleming located?

Karen Fleming practices at 129 E Starling St, Greenville, MS 38701. The listed phone number is (662) 378-1311.

What is Karen Fleming's specialty?

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

Is Karen Fleming enrolled in Medicare?

Yes. Karen Fleming 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 Fleming accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Karen Fleming 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 Fleming affiliated with any hospitals?

According to CMS data, Karen Fleming is affiliated with Delta Health System - The Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Fleming was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.