KAREN ANN PRAHLER CRNP
NPI 1578166492
Nurse Practitioner - Family in Prince Frederick, MD

Active since November 21, 2020PECOS EnrolledAccepts Medicare Assignment
130 HOSPITAL RD STE 102, PRINCE FREDERICK, MD 20678(570) 556-8588 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 15, 2022, Nov 21, 2020 (2 updates tracked since 2020).

About Karen Ann Prahler Crnp NPPES

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

KAREN ANN PRAHLER CRNP (NPI 1578166492) is an individual family provider in Prince Frederick, Maryland, licensed in Maryland (R234785) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1578166492
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN ANN PRAHLERCredential: CRNP
Location Address130 HOSPITAL RD STE 102Prince Frederick, MD 20678-4029
Mailing Address2436 Woodland CtChesapeake Beach, MD 20732-4606 · (570) 556-8588
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 21, 2020
Last NPPES UpdateDecember 15, 20222 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1578166492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R234785
Also ListedRegistered NurseTaxonomy 163W00000X · License 1165256 (KY)
130 HOSPITAL RD STE 102, Prince Frederick, MD 20678

Other Names 1

Former Name (1)Karen Ann Reardon

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 Ann Prahler Crnp 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 ID9032589940
PECOS Enrollment IDI20230110000504, I20230110000922
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 Prahler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
8825 WOODYARD RD, STE 101
Clinton, MD 20735
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1598435059 (Maryland)
  • 105 clinicians in this Medicare group
Specialist
820 BESTGATE RD, SUITE 2A
Annapolis, MD 21401
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Medicare enrollment name: Anne Arundel Gastroenterology Associates, P.A.
  • 19 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 5

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.
192 services140 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services96 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
60 services53 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients

Hospital Affiliations CMS Care Compare

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

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20678 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
130 HOSPITAL RD STE 102
PRINCE FREDERICK, MD 20678
Nurse Practitioner (Acute Care)
130 HOSPITAL RD STE 102
PRINCE FREDERICK, MD 20678
Orthopaedic Surgery
130 HOSPITAL RD STE 102
PRINCE FREDERICK, MD 20678
Prosthetic/Orthotic Supplier
130 HOSPITAL RD STE 102
PRINCE FREDERICK, MD 20678
Clinic/Center (Urgent Care)
130 HOSPITAL RD STE 102
PRINCE FREDERICK, MD 20678
Orthopaedic Surgery
130 HOSPITAL RD STE 102
PRINCE FREDERICK, MD 20678

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 Prahler's NPI number?

The NPI number for Karen Prahler is 1578166492. It was assigned to this individual provider in the NPPES registry on November 21, 2020. The provider is also known as Karen Ann Reardon.

Where is Karen Prahler located?

Karen Prahler practices at 130 Hospital Rd Ste 102, Prince Frederick, MD 20678. The listed phone number is (570) 556-8588.

What is Karen Prahler's specialty?

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

Is Karen Prahler enrolled in Medicare?

Yes. Karen Prahler 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 Prahler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Prahler reassigns Medicare benefits to 2 organizations: Crh MD Management LLC (Clinton, MD) and Anne Arundel Gastroenterology Associates PA (Annapolis, MD). 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 Prahler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Karen Prahler affiliated with any hospitals?

According to CMS data, Karen Prahler is affiliated with Luminis Health Anne Arundel Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Karen Prahler was last updated on December 15, 2022. 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.