KAREN DENISE ZUNKER APRN
NPI 1629578018
Nurse Practitioner - Family in San Marcos, TX

Active since February 13, 2018PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
1308 WONDER WORLD DR, SAN MARCOS, TX 78666(512) 396-5199(512) 396-5206 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2021, Jul 12, 2021, Feb 13, 2018 (3 updates tracked since 2018).

About Karen Denise Zunker Aprn NPPES

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

KAREN DENISE ZUNKER APRN (NPI 1629578018) is an individual family provider in San Marcos, Texas, licensed in Texas (AP141056) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Guadalupe Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629578018
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN DENISE ZUNKERCredential: APRN
Location Address1308 WONDER WORLD DRSan Marcos, TX 78666-7532
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 234-2987
Fax(512) 396-5206
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 13, 2018
Last NPPES UpdateAugust 4, 20213 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
NPI 1629578018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP141056
Also ListedNurse PractitionerTaxonomy 363L00000X · License 127165 (OK)
1308 WONDER WORLD DR, San Marcos, TX 78666

Accepted 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

Karen Denise Zunker Aprn 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 ID3173857216
PECOS Enrollment IDI20190625000223
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 13

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.
289 services222 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
258 services160 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
252 services157 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
202 services146 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
73 services71 patients
Ferritin (blood protein) level 82728
A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.
72 services56 patients

Hospital Affiliations CMS Care Compare 3

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

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

Resolute Health Hospital

Acute Care Hospitals · New Braunfels, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670098
Location555 Creekside Xing,New Braunfels, TX 78130 · Comal County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78666 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Hematology & Oncology)
1308 WONDER WORLD DR
SAN MARCOS, TX 78666
Nurse Practitioner (Family)
1308 WONDER WORLD DR
SAN MARCOS, TX 78666
Nurse Practitioner (Family)
1308 WONDER WORLD DR
SAN MARCOS, TX 78666
Radiology (Radiation Oncology)
1308 WONDER WORLD DR
SAN MARCOS, TX 78666
Internal Medicine (Hematology & Oncology)
1308 WONDER WORLD DR
SAN MARCOS, TX 78666

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 Zunker's NPI number?

The NPI number for Karen Zunker is 1629578018. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Where is Karen Zunker located?

Karen Zunker practices at 1308 Wonder World Dr, San Marcos, TX 78666. The listed phone number is (512) 396-5199.

What is Karen Zunker's specialty?

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

Is Karen Zunker enrolled in Medicare?

Yes. Karen Zunker 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 Zunker accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Imperial Insurance Companies, Inc. and 3 other insurers list Karen Zunker 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 Zunker affiliated with any hospitals?

According to CMS data, Karen Zunker is affiliated with Guadalupe Regional Medical Center, Christus Santa Rosa Hospital-San Marcos and Resolute Health Hospital.

When was this NPI record last updated?

The NPPES record for Karen Zunker was last updated on August 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.