KAREN ANNE PHELPS NP
NPI 1588801773
Nurse Practitioner - Adult Health in Scarborough, ME

Active since January 10, 2009PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
100 CAMPUS DR, SUITE 121, SCARBOROUGH, ME 04074(207) 396-7786 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Karen Anne Phelps Np NPPES

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

KAREN ANNE PHELPS NP (NPI 1588801773) is an individual adult health provider in Scarborough, Maine, licensed in Maine (141081) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1588801773
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKAREN ANNE PHELPSCredential: NP
Location Address100 CAMPUS DR, SUITE 121Scarborough, ME 04074-7171
Mailing Address100 Campus Dr, Suite 121Scarborough, ME 04074-7171
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 10, 2009
Last NPPES UpdateApril 1, 2019
NPI 1588801773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in ME · 141081 Licensed in MA · 186064
100 CAMPUS DR, Scarborough, ME 04074

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

Karen Anne Phelps Np 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 ID9638355480
PECOS Enrollment IDI20150428001457
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
71 services69 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
55 services54 patients
New patient office or other outpatient visit, 30-44 minutes 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.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Medical Oncology)
100 CAMPUS DR, SUITE 108
SCARBOROUGH, ME 04074
Internal Medicine (Hematology & Oncology)
100 CAMPUS DR, SUITE 108
SCARBOROUGH, ME 04074
Physiological Laboratory
100 CAMPUS DR
SCARBOROUGH, ME 04074
Genetic Counselor, MS
100 CAMPUS DR
SCARBOROUGH, ME 04074
Medical Genetics, Ph.D. Medical Genetics
100 CAMPUS DR, SUITE 108
SCARBOROUGH, ME 04074
Social Worker
100 CAMPUS DR, UNIT 107
SCARBOROUGH, ME 04074
Genetic Counselor, MS
100 CAMPUS DR, UNIT 108
SCARBOROUGH, ME 04074
Social Worker (Clinical)
100 CAMPUS DR, UNIT 107
SCARBOROUGH, ME 04074

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588801773, enumerated as an "individual" on January 10, 2009.

The provider is located at 100 CAMPUS DR SUITE 121 SCARBOROUGH, ME 04074 and the phone number is (207) 396-7786.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

Karen Phelps is affiliated with: MAINE MEDICAL CENTER and MID COAST HOSPITAL.