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KAREN TALLON PMHNP
NPI 1568155604
Nurse Practitioner - Psychiatric/Mental Health in Saratoga Springs, NY

Active since June 02, 2023PECOS EnrolledAccepts Medicare Assignment
211 CHURCH ST, SARATOGA SPRINGS, NY 12866(518) 583-8438 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Tallon Pmhnp NPPES

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

KAREN TALLON PMHNP (NPI 1568155604) is an individual psychiatric/mental health provider in Saratoga Springs, New York, licensed in New York (F404956-01) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1568155604
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAREN TALLONCredential: PMHNP
Location Address211 CHURCH STSaratoga Springs, NY 12866-1090
Mailing Address52 Haynes RdPlattsburgh, NY 12901-5133 · (518) 380-4118
Phone(518) 583-8438
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1568155604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F404956-01
211 CHURCH ST, Saratoga Springs, NY 12866
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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 Tallon Pmhnp 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 ID6800258955
PECOS Enrollment IDI20230822000736
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

4

Medicare enrollment records show Karen Tallon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saratoga Hospital
Same address
General Acute Care Hospital
211 CHURCH ST
Saratoga Springs, NY 12866
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1629415740 (New York)
  • 456 clinicians in this Medicare group
NPI 1073569331 (518) 587-3222
Behavioral Health Services North, Inc.
19 mi
Mental Health (Including Community Mental Health Center)
25 WILLOWBROOK RD
Queensbury, NY 12804
  • Reassigned Medicare billing, New York enrollment
  • 107 clinicians in this Medicare group
NPI 1447005541 (518) 563-8206
Essex County Chapter, Nysarc, Inc.
69 mi
Early Intervention Provider Agency
10 ST. PATRICK'S PLACE
Port Henry, NY 12974
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
NPI 1427134451 (518) 546-3051
Essex County Treasurer
78 mi
Mental Health
7513 COURT STREET
Elizabethtown, NY 12932
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group
NPI 1659485480 (518) 873-3670

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 12866 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

ROBERT I GOGUEN
Counselor (Mental Health)
211 CHURCH ST, CRAMER HOUSE
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 584-9030
JEAN R MISCHLER NP
Nurse Practitioner
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-8499
MISS ANDREA CATHERINE KELLY OTR/L
Occupational Therapist
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 368-1925
DR. MARINA ROZIK MD
Student in an Organized Health Care Education/Training Program
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-8797
DR. LAURA MCMAHON MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-8400
KATHERINE ANN KEARINS HOGAN
Nurse Practitioner (Family)
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-3222
DR. ROBERT R PULLING MD
Internal Medicine
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-1141
DR. BERT W PYLE III MD
Family Medicine
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-1141

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 Tallon's NPI number?

The NPI number for Karen Tallon is 1568155604. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Karen Tallon located?

Karen Tallon practices at 211 Church St, Saratoga Springs, NY 12866. The listed phone number is (518) 583-8438.

What is Karen Tallon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Karen Tallon enrolled in Medicare?

Yes. Karen Tallon 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 Tallon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Tallon reassigns Medicare benefits to 4 organizations: Saratoga Hospital (Saratoga Springs, NY), Behavioral Health Services North, Inc. (Queensbury, NY), Essex County Chapter, Nysarc, Inc. (Port Henry, NY) and Essex County Treasurer (Elizabethtown, NY). 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 Tallon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Tallon accept?

Health plans from Oscar Health list Karen Tallon 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.

When was this NPI record last updated?

The NPPES record for Karen Tallon was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.