DR. KAREN Y NI-JONES M.D.
NPI 1548293566
Surgery in Waco, TX
About Dr. Karen Y Ni-jones M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAREN Y NI-JONES M.D. (NPI 1548293566) is an individual surgery provider in Waco, Texas, licensed in Texas (M3669) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Hillcrest, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2001).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Karen Y Ni-jones M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Karen Ni-jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waco, TX 76712
- Reassigned Medicare billing, Texas enrollment
- 184 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor Scott & White Medical Center Hillcrest
Acute Care Hospitals · Waco, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WACO, TX 76712
WACO, TX 76712
WACO, TX 76712
WACO, TX 76712
WACO, TX 76712
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 Ni-jones's NPI number?
The NPI number for Karen Ni-jones is 1548293566. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Karen Ni-jones located?
Karen Ni-jones practices at 50 Hillcrest Medical Blvd General Surgery, Waco, TX 76712. The listed phone number is (254) 202-7204.
What is Karen Ni-jones's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Karen Ni-jones enrolled in Medicare?
Yes. Karen Ni-jones 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.
Which organization bills Medicare for Karen Ni-jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Ni-jones reassigns Medicare benefits to Hillcrest Physician Services (Waco, TX). The 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 Ni-jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Ni-jones accept?
Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Karen Ni-jones 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 Ni-jones affiliated with any hospitals?
According to CMS data, Karen Ni-jones is affiliated with Baylor Scott & White Medical Center Hillcrest.
When was this NPI record last updated?
The NPPES record for Karen Ni-jones was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Karen Y Ni-Jones, M.D. · NPI 1548293566
Surgery physician in Waco, Texas. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1548293566 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** M3669 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 HILLCREST MEDICAL BLVD, GENERAL SURGERY, Waco, TX 76712-8952
- **Phone:** (254) 202-7204 · **Fax:** (254) 202-7298
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hillcrest Physician Services (NPI 1649294323, Waco, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Southwestern Medical School At Dallas, class of 2001
## Record status
- **NPPES last updated:** February 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1548293566) · Data from the CMS NPPES public registry.