MRS. KAREN LEE BAILEY RN, APNC
NPI 1689759714
Nurse Practitioner - Adult Health in Morristown, NJ

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
100 MADISON AVE, MORRISTOWN, NJ 07960(973) 971-4295(973) 290-7172 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Karen Lee Bailey Rn, Apnc NPPES

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

MRS. KAREN LEE BAILEY RN, APNC (NPI 1689759714) is an individual adult health provider in Morristown, New Jersey, licensed in New Jersey (26NN07440800) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Clare's Hospital/ Denville Campus, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1689759714
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KAREN LEE BAILEYCredential: RN, APNC
Location Address100 MADISON AVEMorristown, NJ 07960-6136
Mailing Address10 Robin DrDenville, NJ 07834-3620 · (973) 361-4033
Fax(973) 290-7172
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689759714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NN07440800
100 MADISON AVE, Morristown, NJ 07960

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

Mrs. Karen Lee Bailey Rn, Apnc 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 ID1658459219
PECOS Enrollment IDI20080422000798
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Bailey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
25 POCONO RD
Denville, NJ 07834
  • Reassigned Medicare billing, New Jersey enrollment
  • 50 clinicians in this Medicare group
Internal Medicine
195 ROUTE 46, SUITE 102
Mine Hill, NJ 07803
  • Reassigned Medicare billing, New Jersey enrollment
  • 127 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.

Areas of Expertise CMS Part B claims 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services56 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
52 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services31 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
31 services31 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services23 patients

Hospital Affiliations CMS Care Compare

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

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07960 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
General Acute Care Hospital
100 MADISON AVE
MORRISTOWN, NJ 07960
Social Worker (Clinical)
100 MADISON AVE
MORRISTOWN, NJ 07960
Nurse Practitioner (Adult Health)
100 MADISON AVE
MORRISTOWN, NJ 07960
Nurse Anesthetist, Certified Registered
100 MADISON AVE
MORRISTOWN, NJ 07960
Student in an Organized Health Care Education/Training Program
100 MADISON AVE
MORRISTOWN, NJ 07960
Student in an Organized Health Care Education/Training Program
100 MADISON AVE
MORRISTOWN, NJ 07960
Student in an Organized Health Care Education/Training Program
100 MADISON AVE
MORRISTOWN, NJ 07960

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 Bailey's NPI number?

The NPI number for Karen Bailey is 1689759714. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Karen Bailey located?

Karen Bailey practices at 100 Madison Ave, Morristown, NJ 07960. The listed phone number is (973) 971-4295.

What is Karen Bailey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Karen Bailey enrolled in Medicare?

Yes. Karen Bailey 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 organizations bill Medicare for Karen Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Bailey reassigns Medicare benefits to 2 organizations: Prime Healthcare Services - Saint Clare's LLC (Denville, NJ) and Internal Medicine Of Morris County LLC (Mine Hill, NJ). Each 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 Karen Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Bailey accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Karen Bailey 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 Karen Bailey affiliated with any hospitals?

According to CMS data, Karen Bailey is affiliated with Saint Clare's Hospital/ Denville Campus.

When was this NPI record last updated?

The NPPES record for Karen Bailey was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.