KAREN NEWCOMER FNP-BC
NPI 1568056042
Nurse Practitioner in Goshen, IN

Q: What is Karen Newcomer's NPI number?

The NPI number for Karen Newcomer is 1568056042. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Q: What is Karen Newcomer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karen Newcomer was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since February 24, 2021PECOS EnrolledAccepts Medicare Assignment

81.23/100

CMS Quality Rating

2012 S MAIN ST, GOSHEN, IN 46526(574) 534-2025(574) 534-2042 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2023, Feb 1, 2023, Feb 24, 2021 (3 updates tracked since 2021).

On this page

About Karen Newcomer Fnp-bc NPPES

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

KAREN NEWCOMER FNP-BC (NPI 1568056042) is an individual nurse practitioner in Goshen, Indiana, licensed in Indiana (71010941A) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Goshen Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1568056042

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKAREN NEWCOMERCredential: FNP-BC

Location Address2012 S MAIN STGoshen, IN 46526-5200

Mailing AddressPo Box 834Goshen, IN 46527-0834 · (574) 364-2592

Phone(574) 534-2025

Fax(574) 534-2042

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 24, 2021

Last NPPES UpdateJuly 28, 20253 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1568056042 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 IN · 71010941A

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.

2012 S MAIN ST, Goshen, IN 46526

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Newcomer Fnp-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 ID3375936461

PECOS Enrollment IDI20220214001610

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

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.

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.

25 services24 patients

Hospital Affiliations CMS Care Compare

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

Goshen Hospital

Acute Care Hospitals · Goshen, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150026

Location200 High Park AveGoshen, IN 46526 · Elkhart County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

81.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.95

Promoting Interoperability

100

Improvement Activities

Cost

68.49

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 Newcomer's NPI number?

The NPI number for Karen Newcomer is 1568056042. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Karen Newcomer located?

Karen Newcomer practices at 2012 S Main St, Goshen, IN 46526. The listed phone number is (574) 534-2025.

What is Karen Newcomer's specialty?

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

Is Karen Newcomer enrolled in Medicare?

Yes. Karen Newcomer 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 Newcomer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Karen Newcomer 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 Newcomer affiliated with any hospitals?

According to CMS data, Karen Newcomer is affiliated with Goshen Hospital.

When was this NPI record last updated?

The NPPES record for Karen Newcomer was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.