KAREN NEWCOMER FNP-BC
NPI 1568056042
Nurse Practitioner in Goshen, IN
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
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Karen Newcomer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Goshen, IN 46526
- Reassigned Medicare billing, Indiana enrollment
- 149 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
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.
Goshen Hospital
Acute Care Hospitals · Goshen, INPhysician 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.
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.
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.
Which organization bills Medicare for Karen Newcomer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Newcomer reassigns Medicare benefits to Goshen Health System Inc (Goshen, IN). 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 Newcomer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Newcomer accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield 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 14 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.