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MRS. KAREN A SPROUL FNP - C, ANP-C
NPI 1700096773
Nurse Practitioner - Family in Stony Brook, NY

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
STONYBROOK UNIVERSITY HOSPITAL, DEPT. OF EMERGENCY MEDICINE - HSC LEVEL 4 - ROOM 080, STONY BROOK, NY 11794(631) 444-2478(631) 444-3919 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1700096773
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KAREN A SPROULCredential: FNP - C, ANP-C
Location AddressSTONYBROOK UNIVERSITY HOSPITAL, DEPT. OF EMERGENCY MEDICINE - HSC LEVEL 4 - ROOM 080Stony Brook, NY 11794-8350
Mailing Address111 Peninsula DrPort Jefferson, NY 11777-1110 · (631) 642-1733 · Fax (631) 642-1733
Phone(631) 444-2478
Fax(631) 444-3919
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700096773 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
License✔ Licensed in NY · F335149-1
STONYBROOK UNIVERSITY HOSPITAL, Stony Brook, NY 11794
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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

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.

PECOS PAC ID941392351
PECOS Enrollment IDI20070815000274
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 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

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
1 supplier20 claims20 services$67.81 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$36.09 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

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

THRESIAMMA VARUGHESE
Nurse Practitioner (Adult Health)
STONYBROOK UNIVERSITY HOSPITAL, HSCT16-080,NICHOLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-3821

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.

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.