KAREN MACDONALD
NPI 1639592041
Nurse Practitioner in Royal Oak, MI

Q: What is Karen Macdonald's NPI number?

The NPI number for Karen Macdonald is 1639592041. It was assigned to this individual provider in the NPPES registry on January 22, 2014.

Q: What is Karen Macdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Macdonald was last updated on January 19, 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.

Active since January 22, 2014PECOS Enrolled

80.99/100

CMS Quality Rating

3577 W 13 MILE RD, BEAUMONT PEDIATRIC HEMATOLOGY/ONCOLOGY, ROYAL OAK, MI 48073(248) 551-0360(248) 551-8865 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 19, 2021, Oct 23, 2020 (2 updates tracked since 2020).

On this page

About Karen Macdonald NPPES

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

KAREN MACDONALD (NPI 1639592041) is an individual nurse practitioner in Royal Oak, Michigan, licensed in Michigan (4704150134) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639592041

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKAREN MACDONALD

Location Address3577 W 13 MILE RD, BEAUMONT PEDIATRIC HEMATOLOGY/ONCOLOGYRoyal Oak, MI 48073-6710

Mailing Address26901 Beaumont BlvdSouthfield, MI 48033-3849 · (248) 577-3313 · Fax (248) 577-3302

Phone(248) 551-0360

Fax(248) 551-8865

Sole ProprietorNo

Enumeration DateJanuary 22, 2014

Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2021

✔ NPI 1639592041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704150134

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3577 W 13 MILE RD, Royal Oak, MI 48073

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Macdonald is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

80.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.25

Promoting Interoperability

100

Improvement Activities

Cost

59.73

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.

DR. MATTHEW BURNS COTANT M.D.

Internal Medicine (Hematology & Oncology)

3577 W 13 MILE RD, SUITE 404
ROYAL OAK, MI 48073

Oakland County (248) 551-6900

DR. JEFFRY BRUCE HILLENBERG PH.D.

Psychologist (Clinical)

3577 W 13 MILE RD, SUITE 142
ROYAL OAK, MI 48073

Oakland County (248) 892-4364

RICHARD ZEKMAN DO

Internal Medicine (Medical Oncology)

3577 W 13 MILE RD
ROYAL OAK, MI 48073

Oakland County (248) 551-3446

MRS. CAROL PAPPAS APPEL N.P.

Nurse Practitioner

3577 W 13 MILE RD, SUITE 404
ROYAL OAK, MI 48073

Oakland County (248) 551-6900

MICHIGAN HEALTHCARE PROFESSIONALS PC

Clinical Medical Laboratory

3577 W 13 MILE RD, SUITE 103
ROYAL OAK, MI 48073

Oakland County (248) 288-4510

MEGHAN NICOLE MATEKEL PA-C

Physician Assistant (Surgical)

3577 W 13 MILE RD
ROYAL OAK, MI 48073

Oakland County (248) 551-1325

KIMBERLY LES M.D.

Orthopaedic Surgery

3577 W 13 MILE RD, STE. 402
ROYAL OAK, MI 48073

Oakland County (248) 551-9910

DR. MICHAEL J STENDER M.D.

Internal Medicine (Hematology & Oncology)

3577 W 13 MILE RD, SUITE 404
ROYAL OAK, MI 48073

Oakland County (248) 551-6900

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 Macdonald's NPI number?

The NPI number for Karen Macdonald is 1639592041. It was assigned to this individual provider in the NPPES registry on January 22, 2014.

Where is Karen Macdonald located?

Karen Macdonald practices at 3577 W 13 Mile Rd Beaumont Pediatric Hematology/Oncology, Royal Oak, MI 48073. The listed phone number is (248) 551-0360.

What is Karen Macdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karen Macdonald enrolled in Medicare?

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

What insurance does Karen Macdonald accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Karen Macdonald 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 Macdonald was last updated on January 19, 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.