KAREN S. BROWN NP
NPI 1659354611
Nurse Practitioner in Buffalo, NY

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
96.92/100
CMS Quality Rating
ELM AND CARLTON ST, BUFFALO, NY 14263(716) 845-2300 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 26, 2024, Nov 18, 2024, Mar 17, 2018 (3 updates tracked since 2018).

About Karen S. Brown Np NPPES

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

KAREN S. BROWN NP (NPI 1659354611) is an individual nurse practitioner in Buffalo, New York, licensed in New York (F332043) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1998).

NPPES Registry Identity

NPI1659354611
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN S. BROWNCredential: NP
Location AddressELM AND CARLTON STBuffalo, NY 14263-0001
Mailing AddressElm And Carlton StBuffalo, NY 14263-0001 · (716) 845-2300
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1998
Enumeration DateNovember 23, 2005
Last NPPES UpdateDecember 26, 20243 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
NPI 1659354611 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 NY · F332043
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.

ELM AND CARLTON ST, Buffalo, NY 14263

Other Identifiers 1

Medicaid01878591NY

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 S. Brown Np 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 ID2163558875
PECOS Enrollment IDI20100406000425
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 14263 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

96.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.47
Promoting Interoperability92
Improvement Activities40
Cost94.27

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier19 claims19 services$6.48 avg. paid by Medicare
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
3 suppliers21 claims21 services$61.73 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 20

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

Surgery (Surgical Oncology)
ELM AND CARLTON ST
BUFFALO, NY 14263
Surgery (Surgical Oncology)
ELM AND CARLTON ST
BUFFALO, NY 14263
Radiology (Radiation Oncology)
ELM AND CARLTON ST
BUFFALO, NY 14263
Nurse Anesthetist, Certified Registered
ELM AND CARLTON ST
BUFFALO, NY 14263
Radiology (Therapeutic Radiology)
ELM AND CARLTON ST
BUFFALO, NY 14263
Pathology (Cytopathology)
ELM AND CARLTON ST
BUFFALO, NY 14263
Anesthesiology (Critical Care Medicine)
ELM AND CARLTON ST
BUFFALO, NY 14263
Otolaryngology (Plastic Surgery within the Head & Neck)
ELM AND CARLTON ST
BUFFALO, NY 14263

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659354611, enumerated as an "individual" on November 23, 2005.

The provider is located at ELM AND CARLTON ST BUFFALO, NY 14263 and the phone number is (716) 845-2300.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.