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MRS. KAREN STAATS FNP-C
NPI 1588055644
Nurse Practitioner - Family in Urbana, OH

Active since February 11, 2015PECOS EnrolledAccepts Medicare Assignment
900 SCIOTO ST STE 4, URBANA, OH 43078(937) 653-4666(937) 653-3469 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2024, Aug 8, 2022, Jun 11, 2021 and 1 more (4 updates tracked since 2019).

About Mrs. Karen Staats Fnp-c NPPES

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

MRS. KAREN STAATS FNP-C (NPI 1588055644) is an individual family provider in Urbana, Ohio, licensed in Ohio (APRN.CNP.17095) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Springfield Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1588055644
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KAREN STAATSCredential: FNP-C
Location Address900 SCIOTO ST STE 4Urbana, OH 43078-2251
Mailing Address900 Scioto StUrbana, OH 43078-2251 · (937) 653-4666 · Fax (937) 653-3469
Phone(937) 653-4666
Fax(937) 653-3469
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 11, 2015
Last NPPES UpdateOctober 10, 20244 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1588055644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.17095
900 SCIOTO ST STE 4, Urbana, OH 43078
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1388 Damascus RdMarysville, OH 43040-5535 · Phone (937) 578-4040
Location 250 N Wilson RdColumbus, OH 43204-1214 · Phone (614) 702-7915

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Karen Staats Fnp-c 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 ID9436475738
PECOS Enrollment IDI20150304001115
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

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.
34 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360086
Location100 Medical Center DriveSpringfield, OH 45504 · Clark County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Urbana Hospital

Critical Access Hospitals · Urbana, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361312
Location904 Scioto StreetUrbana, OH 43078 · Champaign County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43078 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

MERCY HEALTH PHYSICIANS SPRINGFIELD PRIMARY CARE LLC
Family Medicine
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (888) 696-3541
JESSICA EL-ASMAR MD
Internal Medicine
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666
DR. ANN-MARIE DORN BROWNE MD
Family Medicine
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666
MRS. HILLARY DIANE PULLINS FNP-C
Nurse Practitioner (Family)
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666
DR. JOAQUIN LLADO-FRAZER M.D.
Internal Medicine
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666
MS. KAREN J SMITH FNP
Nurse Practitioner (Family)
900 SCIOTO ST STE 4
URBANA, OH 43078
Champaign County (937) 653-4666

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 Staats's NPI number?

The NPI number for Karen Staats is 1588055644. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Where is Karen Staats located?

Karen Staats practices at 900 Scioto St Ste 4, Urbana, OH 43078. The listed phone number is (937) 653-4666.

What is Karen Staats's specialty?

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

Is Karen Staats enrolled in Medicare?

Yes. Karen Staats 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.

What insurance does Karen Staats accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Karen Staats 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 Staats affiliated with any hospitals?

According to CMS data, Karen Staats is affiliated with Springfield Regional Medical Center, Mercy Health - West Hospital and Mercy Health - Urbana Hospital.

When was this NPI record last updated?

The NPPES record for Karen Staats was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.