KAREN ELIZABETH HINTON PMHNP
NPI 1659970515
Nurse Practitioner - Psychiatric/Mental Health in Madison, AL

Q: What is Karen Hinton's NPI number?

The NPI number for Karen Hinton is 1659970515. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Q: What is Karen Hinton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Karen Hinton was last updated on October 30, 2023. 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 October 21, 2020PECOS EnrolledAccepts Medicare Assignment

600 SUN TEMPLE DR, MADISON, AL 35758(256) 325-2627(256) 429-9411 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 30, 2023, Mar 22, 2023, Oct 21, 2020 (3 updates tracked since 2020).

On this page

About Karen Elizabeth Hinton Pmhnp NPPES

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

KAREN ELIZABETH HINTON PMHNP (NPI 1659970515) is an individual psychiatric/mental health provider in Madison, Alabama, licensed in Alabama (1-038053) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659970515

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKAREN ELIZABETH HINTONCredential: PMHNP

Location Address600 SUN TEMPLE DRMadison, AL 35758-8643

Mailing Address600 Sun Temple DrMadison, AL 35758-8643 · (256) 325-2627 · Fax (256) 429-9411

Phone(256) 325-2627

Fax(256) 429-9411

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 21, 2020

Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1659970515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AL · 1-038053

Also ListedRegistered NurseTaxonomy 163W00000X · License 1-038053 (AL)

600 SUN TEMPLE DR, Madison, AL 35758

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.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

Karen Elizabeth Hinton Pmhnp 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 ID4486028305

PECOS Enrollment IDI20230316000365

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

143 services56 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

124 services57 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

38 services27 patients

Psychotherapy with evaluation and management visit, 1 hour 90838

Psychotherapy with evaluation and management is a one-hour session where a mental health professional assesses your psychological state and discusses treatment options. This process aims to understand your feelings, thoughts, and behaviors to improve your overall well-being.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35758 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

KRISTA YOUNG CRNP

Nurse Practitioner (Family)