MRS. KAREN ALBERT PMHNP-BC, FNP-C
NPI 1619405347
Nurse Practitioner - Psychiatric/Mental Health in Madawaska, ME

Active since May 25, 2017PECOS Enrolled
88 FOX ST STE 101, MADAWASKA, ME 04756(207) 728-6341(207) 728-7762 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 21, 2021, May 25, 2017 (2 updates tracked since 2017).

About Mrs. Karen Albert Pmhnp-bc, Fnp-c NPPES

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

MRS. KAREN ALBERT PMHNP-BC, FNP-C (NPI 1619405347) is an individual psychiatric/mental health provider in Madawaska, Maine, licensed in Maine (CNP171060) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619405347
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. KAREN ALBERTCredential: PMHNP-BC, FNP-C
Location Address88 FOX ST STE 101Madawaska, ME 04756-1352
Mailing Address25 Beaulieu RdSaint David, ME 04773-4026 · (207) 728-3648
Fax(207) 728-7762
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 25, 2017
Last NPPES UpdateOctober 21, 20212 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
✔ NPI 1619405347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ME · CNP171060
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CNP171060 (ME)
88 FOX ST STE 101, Madawaska, ME 04756

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Karen Albert Pmhnp-bc, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365786308
PECOS Enrollment IDI20181203002316
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Karen Albert reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
180 ACADEMY ST STE 2
Presque Isle, ME 04769
  • Reassigned Medicare billing, Maine enrollment
  • 42 clinicians in this Medicare group
Psychiatric Hospital
268 STILLWATER AVENUE
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 348 clinicians in this Medicare group
Psychiatric/Mental Health
1110 SE ALDER STREET, SUITE 301
Portland, OR 97214
  • Reassigned Medicare billing, Maine enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
132 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04756 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 10

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

Counselor
88 FOX ST STE 101
MADAWASKA, ME 04756
Counselor
88 FOX ST STE 101
MADAWASKA, ME 04756
Social Worker (Clinical)
88 FOX ST STE 101
MADAWASKA, ME 04756
Social Worker (Clinical)
88 FOX ST STE 101
MADAWASKA, ME 04756
Counselor
88 FOX ST STE 101
MADAWASKA, ME 04756
Counselor
88 FOX ST STE 101
MADAWASKA, ME 04756
Social Worker
88 FOX ST STE 101
MADAWASKA, ME 04756
Counselor
88 FOX ST STE 101
MADAWASKA, ME 04756

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 Albert's NPI number?

The NPI number for Karen Albert is 1619405347. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Karen Albert located?

Karen Albert practices at 88 Fox St Ste 101, Madawaska, ME 04756. The listed phone number is (207) 728-6341.

What is Karen Albert's specialty?

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

Is Karen Albert enrolled in Medicare?

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

Which organizations bill Medicare for Karen Albert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Albert reassigns Medicare benefits to 3 organizations: Aroostook Mental Health Services, Inc. (Presque Isle, ME), Acadia Hospital Corp (Bangor, ME) and Mindful Mental And Behavioral Health PLLC (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Albert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Albert accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Karen Albert 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.

When was this NPI record last updated?

The NPPES record for Karen Albert was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.