KAREN M MCGRAW FNP
NPI 1720278013
Nurse Practitioner - Family in Hendersonville, NC

Active since August 01, 2007PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
1032 FLEMING STREET, HENDERSONVILLE, NC 28791(828) 696-3099(828) 696-3868 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2025, Mar 21, 2023 (2 updates tracked since 2023).

About Karen M Mcgraw Fnp NPPES

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

KAREN M MCGRAW FNP (NPI 1720278013) is an individual family provider in Hendersonville, North Carolina, licensed in North Carolina (5002415) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Margaret R Pardee Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720278013
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN M MCGRAWCredential: FNP
Location Address1032 FLEMING STREETHendersonville, NC 28791
Mailing Address1032 Fleming StHendersonville, NC 28791-3532 · (828) 696-3099 · Fax (828) 696-3868
Fax(828) 696-3868
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 1, 2007
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1720278013 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 NC · 5002415
1032 FLEMING STREET, Hendersonville, NC 28791

Secondary Practice Locations 2

Location 1291 Sweeten Creek RoadAsheville, NC 28803-1527 · Phone (828) 254-0881 · Fax (828) 254-1614
Location 2188 Medical Park Drive, Ste ABrevard, NC 28712-4188 · Phone (828) 883-9600 · Fax (828) 254-1614

Accepted 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 M Mcgraw Fnp 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 ID9739251166
PECOS Enrollment IDI20080630000692
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 5

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.
397 services275 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.
122 services122 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.
55 services39 patients
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.
29 services27 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
24 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

Transylvania Regional Hospital, Inc

Critical Access Hospitals · Brevard, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341319
Location90 Hospital Drive PO Box 1116Brevard, NC 28712 · Transylvania County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28791 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Gastroenterology)
1032 FLEMING STREET
HENDERSONVILLE, NC 28791
Clinic/Center (Ambulatory Surgical)
1032 FLEMING STREET
HENDERSONVILLE, NC 28791
Internal Medicine (Gastroenterology)
1032 FLEMING STREET
HENDERSONVILLE, NC 28791
Nurse Anesthetist, Certified Registered
1032 FLEMING STREET
HENDERSONVILLE, NC 28791
Nurse Anesthetist, Certified Registered
1032 FLEMING STREET
HENDERSONVILLE, NC 28791
Internal Medicine (Gastroenterology)
1032 FLEMING STREET
HENDERSONVILLE, NC 28791

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 Mcgraw's NPI number?

The NPI number for Karen Mcgraw is 1720278013. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Karen Mcgraw located?

Karen Mcgraw practices at 1032 Fleming Street, Hendersonville, NC 28791. The listed phone number is (828) 696-3099.

What is Karen Mcgraw's specialty?

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

Is Karen Mcgraw enrolled in Medicare?

Yes. Karen Mcgraw 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.

What insurance does Karen Mcgraw accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Karen Mcgraw 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 Mcgraw affiliated with any hospitals?

According to CMS data, Karen Mcgraw is affiliated with Margaret R Pardee Memorial Hospital, Adventhealth Hendersonville and Transylvania Regional Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Karen Mcgraw was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.