MRS. KAREN A SPROUL FNP - C, ANP-C
NPI 1700096773
Nurse Practitioner - Family in Stony Brook, NY
About Mrs. Karen A Sproul Fnp - C, Anp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KAREN A SPROUL FNP - C, ANP-C (NPI 1700096773) is an individual family provider in Stony Brook, New York, licensed in New York (F335149-1) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
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 A Sproul Fnp - C, Anp-c 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 Karen Sproul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1467249334 (New York)
- 232 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STONY BROOK, NY 11794
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 Sproul's NPI number?
The NPI number for Karen Sproul is 1700096773. It was assigned to this individual provider in the NPPES registry on May 22, 2007.
Where is Karen Sproul located?
Karen Sproul practices at Stonybrook University Hospital Dept. Of Emergency Medicine - Hsc Level 4 - Room 080, Stony Brook, NY 11794. The listed phone number is (631) 444-2478.
What is Karen Sproul's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Karen Sproul enrolled in Medicare?
Yes. Karen Sproul 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 Karen Sproul's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Sproul reassigns Medicare benefits to John T. Mather Memorial Hospital (Port Jefferson, NY). 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 Karen Sproul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Karen Sproul 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.
# Mrs. Karen A Sproul, FNP - C, ANP-C · NPI 1700096773
Family physician in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1700096773 (Entity type: Individual)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F335149-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** STONYBROOK UNIVERSITY HOSPITAL, DEPT. OF EMERGENCY MEDICINE - HSC LEVEL 4 - ROOM 080, Stony Brook, NY 11794-8350
- **Phone:** (631) 444-2478 · **Fax:** (631) 444-3919
## 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:** John T. Mather Memorial Hospital (NPI 1285920231, Port Jefferson, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1700096773) · Data from the CMS NPPES public registry.