KAREN S WODOWSKI RN/NP
NPI 1750368437
Nurse Practitioner - Pediatrics in Memphis, TN

NPI Status: Active since December 23, 2005

Contact Information

262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105
Phone: (901) 595-3006
Fax: (901) 595-3842

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Nurse Practitioner
Pediatrics
Accepts Insurance
PECOS Enrolled

About KAREN WODOWSKI

This page provides the complete NPI Profile along with additional information for Karen Wodowski, a provider established in Memphis, Tennessee with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1750368437 assigned on December 2005. The practitioner's primary taxonomy code is 363LP0200X with license number 118450 (TN). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI: 1750368437
Provider Name: KAREN S WODOWSKI RN/NP
Gender: Female
Entity Type: Individual
Location Address: 262 DANNY THOMAS PL MEMPHIS, TN 38105
Location Phone: (901) 595-3006
Location Fax: (901) 595-3842
Mailing Address: 262 DANNY THOMAS PL MS 515 MEMPHIS, TN 38105
Mailing Phone: (901) 595-3006
Mailing Fax: (901) 595-3842
Is Sole Proprietor?: No
Enumeration Date: 12-23-2005
Last Update Date: 10-02-2012
Code Navigator

A nurse practitioner (NP) like Karen Wodowski is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Pediatrics
Taxonomy Code: 363LP0200X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 118450
License State: TN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

BlueCross BlueShield of Tennessee

BlueCross B07E HSA - EPO
BlueCross B15E $0 virtual care from Teladoc Health � - EPO
BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental - EPO
BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO

Molina Healthcare

Bronze 4 - HMO
Bronze 8 - HMO
Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
3349876	MEDICAID (05)	TN
891017612	MEDICAID (05)	AL

Medicare Participation & PECOS Enrollment Status

Karen Wodowski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 38105 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $81.53
Minimum New Patient Price $52.64
Maximum New Patient Price $160.89

Average New Patient Copayment $20.38
Minimum New Patient Copayment $13.16
Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $93.6
Minimum Established Patient Price $16.72
Maximum Established Patient Price $131.41

Average Established Patient Copayment $23.4
Minimum Established Patient Copayment $4.18
Maximum Established Patient Copayment $32.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	5	0	3	6	8	4	3	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	6	6	16	4	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 6 + 1 + 6 + 4 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7									7

The NPI number 1750368437 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. AMAR J GAJJAR MD

Pediatrics

(Pediatric Hematology-Oncology)

262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105

About KAREN WODOWSKI

Location Map

Specialty - Primary Taxonomy

Nurse Practitioner Pediatrics

Insurance Plans Accepted

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for KAREN S WODOWSKI RN/NP

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions