KAREN MICHELLE PAWELEK APRN
NPI 1568408433
Nurse Practitioner - Adult Health in Hartford, CT
About Karen Michelle Pawelek Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN MICHELLE PAWELEK APRN (NPI 1568408433) is an individual adult health provider in Hartford, Connecticut, licensed in Connecticut (003608) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
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 Michelle Pawelek Aprn 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 Reassignments
2Medicare enrollment records show Karen Pawelek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Haven, CT 06510
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 clinicians in this Medicare group
New Haven, CT 06519
- Reassigned Medicare billing, Connecticut enrollment
- 468 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06106 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
HARTFORD, CT 06106
HARTFORD, CT 06106
HARTFORD, CT 06106
HARTFORD, CT 06106
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 Pawelek's NPI number?
The NPI number for Karen Pawelek is 1568408433. It was assigned to this individual provider in the NPPES registry on June 21, 2006.
Where is Karen Pawelek located?
Karen Pawelek practices at 200 Retreat Ave Research Building 8th Floor, Hartford, CT 06106. The listed phone number is (860) 545-7596.
What is Karen Pawelek's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Karen Pawelek enrolled in Medicare?
Yes. Karen Pawelek 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 Pawelek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Pawelek reassigns Medicare benefits to 2 organizations: Mill Hill Medical Consultants Inc (New Haven, CT) and Cornell Scott Hill Health Corporation (New Haven, CT). 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 Pawelek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Pawelek accept?
Health plans from Anthem Blue Cross and Blue Shield list Karen Pawelek 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 Pawelek was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Karen Michelle Pawelek, APRN · NPI 1568408433
Adult Health physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since June 21, 2006.
## Identity
- **NPI:** 1568408433 (Entity type: Individual)
- **Enumerated:** June 21, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 003608 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 RETREAT AVE, RESEARCH BUILDING 8TH FLOOR, Hartford, CT 06106-3309
- **Phone:** (860) 545-7596 · **Fax:** (860) 545-7875
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Mill Hill Medical Consultants Inc (NPI 1952624769, New Haven, CT); Cornell Scott Hill Health Corporation (NPI 1902921380, New Haven, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 13, 2015
- **Other identifiers:** Medicare PIN 500001989 (CT); Medicare UPIN P48888 (CT); Medicaid 1568408433 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1568408433) · Data from the CMS NPPES public registry.