MRS. KAREN ELIZABETH SHADOW FNP
NPI 1609380856
Nurse Practitioner - Family in Baytown, TX

Q: What is Karen Shadow's NPI number?

The NPI number for Karen Shadow is 1609380856. It was assigned to this individual provider in the NPPES registry on November 27, 2017. The provider is also known as Karen Elizabeth Riojas Fnp.

Q: What is Karen Shadow's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karen Shadow was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since November 27, 2017PECOS EnrolledAccepts Medicare Assignment

4301 GARTH RD STE 101, BAYTOWN, TX 77521(832) 556-6625(832) 556-6650 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2024, Dec 20, 2021, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Mrs. Karen Elizabeth Shadow Fnp NPPES

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

MRS. KAREN ELIZABETH SHADOW FNP (NPI 1609380856) is an individual family provider in Baytown, Texas, licensed in Texas (AP134316) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Baytown Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609380856

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KAREN ELIZABETH SHADOWCredential: FNP

Location Address4301 GARTH RD STE 101Baytown, TX 77521-3157

Mailing Address4301 Garth Rd Ste 101Baytown, TX 77521-3157 · (832) 556-6625 · Fax (832) 566-6650

Phone(832) 556-6625

Fax(832) 556-6650

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 27, 2017

Last NPPES UpdateSeptember 6, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2024

✔ NPI 1609380856 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 TX · AP134316

4301 GARTH RD STE 101, Baytown, TX 77521

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Other Names 1

Former Name (1)Karen Elizabeth Riojas Fnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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 Elizabeth Shadow Fnp 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 ID9032450028

PECOS Enrollment IDI20190329002126

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 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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

99 services93 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.

92 services85 patients

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.

62 services48 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.

57 services57 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450424

Location4401 Garth RoadBaytown, TX 77521 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77521 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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 2

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

HADIDI HEART & VASCULAR MD PA

Clinic/Center (Health Service)

4301 GARTH RD STE 101
BAYTOWN, TX 77521

Harris County (281) 422-3364

TANIQUA MIGHTY FNP

Nurse Practitioner (Family)

4301 GARTH RD STE 101
BAYTOWN, TX 77521

Harris County (832) 556-6625

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 Shadow's NPI number?

The NPI number for Karen Shadow is 1609380856. It was assigned to this individual provider in the NPPES registry on November 27, 2017. The provider is also known as Karen Elizabeth Riojas Fnp.

Where is Karen Shadow located?

Karen Shadow practices at 4301 Garth Rd Ste 101, Baytown, TX 77521. The listed phone number is (832) 556-6625.

What is Karen Shadow's specialty?

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

Is Karen Shadow enrolled in Medicare?

Yes. Karen Shadow 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 Shadow accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Karen Shadow 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 Shadow affiliated with any hospitals?

According to CMS data, Karen Shadow is affiliated with Houston Methodist Baytown Hospital.

When was this NPI record last updated?

The NPPES record for Karen Shadow was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.