MRS. KAREN ELIZABETH CERCONE NP-C
NPI 1639651920
Nurse Practitioner - Family in Valparaiso, IN

Q: What is Karen Cercone's NPI number?

The NPI number for Karen Cercone is 1639651920. It was assigned to this individual provider in the NPPES registry on September 3, 2018.

Q: What is Karen Cercone'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 Cercone was last updated on April 15, 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.

Active since September 03, 2018PECOS Enrolled

701 WALL ST, VALPARAISO, IN 46383(219) 288-8419(219) 462-1180 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2024, Apr 14, 2023, Nov 3, 2022 and 4 more (7 updates tracked since 2018).

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About Mrs. Karen Elizabeth Cercone Np-c NPPES

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

MRS. KAREN ELIZABETH CERCONE NP-C (NPI 1639651920) is an individual family provider in Valparaiso, Indiana, licensed in Indiana (71008385A) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639651920

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KAREN ELIZABETH CERCONECredential: NP-C

Location Address701 WALL STValparaiso, IN 46383

Mailing Address1047 Crabtree LnChesterton, IN 46304-3128 · (219) 728-7186

Phone(219) 288-8419

Fax(219) 462-1180

Sole ProprietorNo

Enumeration DateSeptember 3, 2018

Last NPPES UpdateApril 15, 20247 updates tracked since enumeration

NPPES CertifiedApril 15, 2024

✔ NPI 1639651920 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

Licenses✔ Licensed in IN · 71008385A✔ Licensed in IN · 28156309A✔ Licensed in IN · 28156309

701 WALL ST, Valparaiso, IN 46383

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Secondary Practice Locations 2

Location 1101 W 61st AveHobart, IN 46342-6449 · Phone (219) 945-9830 · Fax (219) 945-9541

Location 21001 Sturdy RdValparaiso, IN 46383-4126 · Phone (219) 462-7173 · Fax (219) 462-7504

Other Identifiers 1

Medicaid300020031IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Karen Elizabeth Cercone Np-c 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 46383 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$51.86 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 9

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

HEALTHLINC, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))