KAREN JEAN CARUSO MSN, RN, FNP-BC
NPI 1679816680
Nurse Practitioner - Family in San Juan Capistrano, CA

Active since March 28, 2013PECOS EnrolledAccepts Medicare Assignment
13.72/100
CMS Quality Rating
30230 RANCHO VIEJO RD, SUITE 200, SAN JUAN CAPISTRANO, CA 92675(949) 443-4303(949) 443-4033 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Jean Caruso Msn, Rn, Fnp-bc NPPES

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

KAREN JEAN CARUSO MSN, RN, FNP-BC (NPI 1679816680) is an individual family provider in San Juan Capistrano, California, licensed in California (23053) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1679816680
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN JEAN CARUSOCredential: MSN, RN, FNP-BC
Location Address30230 RANCHO VIEJO RD, SUITE 200San Juan Capistrano, CA 92675-1557
Mailing AddressPo Box 7087Orange, CA 92863-7087 · (714) 571-5000 · Fax (714) 571-5055
Fax(949) 443-4033
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 28, 2013
Last NPPES UpdateJanuary 11, 2016
NPI 1679816680 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 CA · 23053 Licensed in NV · APN001495
30230 RANCHO VIEJO RD, San Juan Capistrano, CA 92675

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 Jean Caruso Msn, Rn, Fnp-bc 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 ID648572297
PECOS Enrollment IDI20160113002149
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
204 services179 patients
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.
159 services140 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
86 services84 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
65 services61 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92675 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

13.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost45.75

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Pulmonary Disease)
30230 RANCHO VIEJO RD, SUITE 110
SAN JUAN CAPISTRANO, CA 92675
Internal Medicine (Pulmonary Disease)
30230 RANCHO VIEJO RD, SUITE 200
SAN JUAN CAPISTRANO, CA 92675
Pediatrics
30230 RANCHO VIEJO RD, SUITE A
SAN JUAN CAPISTRANO, CA 92675
Specialist
30230 RANCHO VIEJO RD, SUITE 200
SAN JUAN CAPISTRANO, CA 92675
Internal Medicine (Pulmonary Disease)
30230 RANCHO VIEJO RD, SUITE 200
SAN JUAN CAPISTRANO, CA 92675
Internal Medicine (Pulmonary Disease)
30230 RANCHO VIEJO RD, SUITE 200
SAN JUAN CAPISTRANO, CA 92675
Hospitalist
30230 RANCHO VIEJO RD, SUITE 200
SAN JUAN CAPISTRANO, CA 92675
Internal Medicine (Pulmonary Disease)
30230 RANCHO VIEJO RD, SUITE 200
SAN JUAN CAPISTRANO, CA 92675

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 Karen Caruso's NPI number?

The NPI number for Karen Caruso is 1679816680. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Karen Caruso located?

Karen Caruso practices at 30230 Rancho Viejo Rd Suite 200, San Juan Capistrano, CA 92675. The listed phone number is (949) 443-4303.

What is Karen Caruso's specialty?

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

Is Karen Caruso enrolled in Medicare?

Yes. Karen Caruso 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.

When was this NPI record last updated?

The NPPES record for Karen Caruso was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.