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KAREN DAVIS TOSH NP
NPI 1609386226
Nurse Practitioner - Primary Care in Centralia, WA

Active since October 10, 2017PECOS EnrolledAccepts Medicare Assignment
1815 COOKS HILL RD STE B, CENTRALIA, WA 98531(360) 807-5029(360) 807-5051 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2023, Feb 17, 2022, May 7, 2021 and 2 more (5 updates tracked since 2017).

About Karen Davis Tosh Np NPPES

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

KAREN DAVIS TOSH NP (NPI 1609386226) is an individual primary care provider in Centralia, Washington, licensed in Washington (AP60865821) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Capital Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2015).

NPPES Registry Identity

NPI1609386226
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKAREN DAVIS TOSHCredential: NP
Location Address1815 COOKS HILL RD STE BCentralia, WA 98531-9170
Mailing Address1815 Cooks Hill Rd Ste BCentralia, WA 98531-9170 · (360) 807-5029 · Fax (360) 807-5051
Phone(360) 807-5029
Fax(360) 807-5051
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2015
Enumeration DateOctober 10, 2017
Last NPPES UpdateMay 22, 20245 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
✔ NPI 1609386226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses✔ Licensed in WA · AP60865821✔ Licensed in GA · 243380
1815 COOKS HILL RD STE B, Centralia, WA 98531
Open in Google Maps ↗

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 Davis Tosh 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 ID4789938671
PECOS Enrollment IDI20190114000185
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 7

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
305 services165 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
41 services32 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
38 services38 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
27 services24 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
22 services22 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Capital Medical Center

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500139
Location3900 Capital Mall Dr SWOlympia, WA 98502 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98531 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
3 suppliers17 claims17 services$14.56 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
3 suppliers17 claims17 services$14.78 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
3 suppliers17 claims17 services$199.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

TERI L SELSTROM DNP
Clinical Nurse Specialist (Family Health)
1815 COOKS HILL RD STE B
CENTRALIA, WA 98531
Lewis County (360) 807-7776

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 Tosh's NPI number?

The NPI number for Karen Tosh is 1609386226. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is Karen Tosh located?

Karen Tosh practices at 1815 Cooks Hill Rd Ste B, Centralia, WA 98531. The listed phone number is (360) 807-5029.

What is Karen Tosh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Karen Tosh enrolled in Medicare?

Yes. Karen Tosh 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.

Is Karen Tosh affiliated with any hospitals?

According to CMS data, Karen Tosh is affiliated with Capital Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Tosh was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.