JAMES KARLS
NPI 1659107597
Nurse Practitioner - Family in Beloit, WI

Active since September 09, 2024PECOS EnrolledAccepts Medicare Assignment
1969 W HART RD, BELOIT, WI 53511(608) 364-5011 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Karls NPPES

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

JAMES KARLS (NPI 1659107597) is an individual family provider in Beloit, Wisconsin, licensed in Wisconsin (227145-30) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and maintains a secondary practice location in Beloit.

NPPES Registry Identity

NPI1659107597
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES KARLS
Location Address1969 W HART RDBeloit, WI 53511-2298
Mailing Address1905 E Huebbe PkwyBeloit, WI 53511-1896 · (608) 365-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
NPI 1659107597 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
License Licensed in WI · 227145-30
1969 W HART RD, Beloit, WI 53511

Secondary Practice Location 1

Location 11905 E Huebbe PkwyBeloit, WI 53511-1896 · Phone (608) 365-2200

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

James Karls 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 ID8921516154
PECOS Enrollment IDI20250731000989
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.

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Internal Medicine (Cardiovascular Disease)
1969 W HART RD
BELOIT, WI 53511
Speech-Language Pathologist
1969 W HART RD, BELOIT HEALTH SYSTEM INC/ BELOIT MEMORIAL HOSPITAL
BELOIT, WI 53511
Social Worker (Clinical)
1969 W HART RD
BELOIT, WI 53511
Counselor (Professional)
1969 W HART RD
BELOIT, WI 53511
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1969 W HART RD
BELOIT, WI 53511
Radiology (Diagnostic Radiology)
1969 W HART RD
BELOIT, WI 53511
Physician Assistant
1969 W HART RD
BELOIT, WI 53511
Anesthesiology
1969 W HART RD, BELOIT MEMORIAL HOSPITAL
BELOIT, WI 53511

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 James Karls's NPI number?

The NPI number for James Karls is 1659107597. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is James Karls located?

James Karls practices at 1969 W Hart Rd, Beloit, WI 53511. The listed phone number is (608) 364-5011.

What is James Karls's specialty?

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

Is James Karls enrolled in Medicare?

Yes. James Karls 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 James Karls accept?

Health plans from Group Health Cooperative-SCW and Quartz list James Karls 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 James Karls affiliated with any hospitals?

According to CMS data, James Karls is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for James Karls was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.