JAMES KARLS
NPI 1659107597
Nurse Practitioner - Family in Beloit, WI
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show James Karls reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Beloit, WI 53511
- Reassigned Medicare billing, Wisconsin enrollment
- 194 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.
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, WIPhysician 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.
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.
BELOIT, WI 53511
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.
Which organization bills Medicare for James Karls's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Karls reassigns Medicare benefits to Beloit Health System, Inc (Beloit, WI). The 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 James Karls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Karls accept?
Health plans from Dean Health Plan, 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 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.
# James Karls · NPI 1659107597
Family physician in Beloit, Wisconsin. Individual provider, active in the CMS NPPES registry since September 9, 2024.
## Identity
- **NPI:** 1659107597 (Entity type: Individual)
- **Enumerated:** September 9, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 227145-30 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1969 W HART RD, Beloit, WI 53511-2298
- **Phone:** (608) 364-5011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Beloit Health System, Inc (NPI 1568677417, Beloit, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659107597) · Data from the CMS NPPES public registry.