KAREN REBECCA ABERNATHY
NPI 1588032122
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since September 14, 2015PECOS Enrolled
74.39/100
CMS Quality Rating
4940 EASTERN AVE RM 456, BALTIMORE, MD 21224(410) 550-6119(410) 500-1336 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen Rebecca Abernathy NPPES

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

KAREN REBECCA ABERNATHY (NPI 1588032122) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R152270) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Bayview Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1588032122
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAREN REBECCA ABERNATHY
Location Address4940 EASTERN AVE RM 456Baltimore, MD 21224-2735
Mailing Address9910 Franklin Square Dr Ste 2110Baltimore, MD 21236-4902 · (410) 933-6423 · Fax (410) 933-1390
Fax(410) 500-1336
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 14, 2015
Last NPPES UpdateDecember 20, 2018
NPI 1588032122 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 MD · R152270
4940 EASTERN AVE RM 456, Baltimore, MD 21224

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Karen Rebecca Abernathy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870803539
PECOS Enrollment IDI20151109001158
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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 Abernathy's NPI number?

The NPI number for Karen Abernathy is 1588032122. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is Karen Abernathy located?

Karen Abernathy practices at 4940 Eastern Ave Rm 456, Baltimore, MD 21224. The listed phone number is (410) 550-6119.

What is Karen Abernathy's specialty?

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

Is Karen Abernathy enrolled in Medicare?

Yes. Karen Abernathy is registered in the Medicare PECOS enrollment system.

Is Karen Abernathy affiliated with any hospitals?

According to CMS data, Karen Abernathy is affiliated with Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Abernathy was last updated on December 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.