KAREN STEPHANIE VARGAS MARQUEZ FNP-C
NPI 1558195073
Nurse Practitioner - Family in Fresno, CA

Active since August 27, 2024PECOS EnrolledAccepts Medicare Assignment
1570 E HERNDON AVE, FRESNO, CA 93720(559) 603-7240 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Stephanie Vargas Marquez Fnp-c NPPES

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

KAREN STEPHANIE VARGAS MARQUEZ FNP-C (NPI 1558195073) is an individual family provider in Fresno, California, licensed in California (95030924) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1558195073
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN STEPHANIE VARGAS MARQUEZCredential: FNP-C
Location Address1570 E HERNDON AVEFresno, CA 93720-3303
Mailing Address1149 S Apricot AveFresno, CA 93727-1140 · (559) 779-1097
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 27, 2024
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1558195073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95030924
1570 E HERNDON AVE, Fresno, CA 93720

Secondary Practice Location 1

Location 13656 W Shaw AveFresno, CA 93711-3231 · Phone (559) 388-8430

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

Karen Stephanie Vargas Marquez 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 ID4385146166
PECOS Enrollment IDI20250909002869
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Stephanie Marquez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
7257 N FRESNO ST
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 604 clinicians in this Medicare group
Exclusive Provider Organization
4929 E KINGS CANYON RD
Fresno, CA 93727
  • Reassigned Medicare billing, California enrollment
  • 16 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

Family Medicine (Adult Medicine)
1570 E HERNDON AVE
FRESNO, CA 93720
Pediatrics
1570 E HERNDON AVE
FRESNO, CA 93720
Family Medicine
1570 E HERNDON AVE
FRESNO, CA 93720
Family Medicine
1570 E HERNDON AVE
FRESNO, CA 93720
Dentist (General Practice)
1570 E HERNDON AVE
FRESNO, CA 93720
Internal Medicine
1570 E HERNDON AVE
FRESNO, CA 93720
Family Medicine
1570 E HERNDON AVE
FRESNO, CA 93720
Physician Assistant (Medical)
1570 E HERNDON AVE
FRESNO, CA 93720

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 Stephanie Marquez's NPI number?

The NPI number for Karen Stephanie Marquez is 1558195073. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Karen Stephanie Marquez located?

Karen Stephanie Marquez practices at 1570 E Herndon Ave, Fresno, CA 93720. The listed phone number is (559) 603-7240.

What is Karen Stephanie Marquez's specialty?

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

Is Karen Stephanie Marquez enrolled in Medicare?

Yes. Karen Stephanie Marquez 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 organizations bill Medicare for Karen Stephanie Marquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Stephanie Marquez reassigns Medicare benefits to 2 organizations: Community Health Partners (Fresno, CA) and Greater Fresno Health Organization, Inc. (Fresno, CA). Each 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 Stephanie Marquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Stephanie Marquez was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.