Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KARLEE JO WORTHAM APRN, FNP-C
NPI 1750917019
Nurse Practitioner - Family in Eagan, MN

Active since March 19, 2020PECOS Enrolled
78.75/100
CMS Quality Rating
PO BOX 211699, EAGAN, MN 55121(866) 849-0692(888) 973-8821 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Jun 2, 2026, Apr 6, 2026 and 6 more (9 updates tracked since 2020).

About Karlee Jo Wortham Aprn, Fnp-c NPPES

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

KARLEE JO WORTHAM APRN, FNP-C (NPI 1750917019) is an individual family provider in Eagan, Minnesota, licensed in Oklahoma (121733) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Cherokee Nation W W Hastings Indian Hospital, and maintains a secondary practice location in Coweta.

NPPES Registry Identity

NPI1750917019
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARLEE JO WORTHAMCredential: APRN, FNP-C
Location AddressPO BOX 211699Eagan, MN 55121-3699
Mailing AddressPo Box 211699Eagan, MN 55121-3699 · (866) 849-0692 · Fax (888) 973-8821
Fax(888) 973-8821
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 19, 2020
Last NPPES UpdateJuly 14, 20269 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1750917019 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
Licenses Licensed in OK · 121733 Licensed in FL · APRN11044996 Licensed in NC · 5024760 Licensed in TX · 1232727 Licensed in HI · APRN-5673 Licensed in CO · C-APN.0105967-C-NP Licensed in GA · GAA-NP005188 Licensed in AL · 3-002789 Licensed in MO · 2026007448 Licensed in KY · 4052585 Licensed in OH · 0041843 Licensed in SC · 31710
PO BOX 211699, Eagan, MN 55121

Secondary Practice Location 1

Location 139098 E 153rd St SCoweta, OK 74429-8543 · Phone (918) 706-0298

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

Karlee Jo Wortham Aprn, Fnp-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 ID9830517630
PECOS Enrollment IDI20200910001676
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 2

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 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.
164 services126 patients
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.
123 services106 patients

Hospital Affiliations CMS Care Compare

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

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55121 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.59
Promoting Interoperability98
Improvement Activities40
Cost65.11

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.

Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Registered Nurse
PO BOX 211699
EAGAN, MN 55121
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Nurse Practitioner (Adult Health)
PO BOX 211699
EAGAN, MN 55121
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121

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 Karlee Wortham's NPI number?

The NPI number for Karlee Wortham is 1750917019. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Where is Karlee Wortham located?

Karlee Wortham practices at PO Box 211699, Eagan, MN 55121. The listed phone number is (866) 849-0692.

What is Karlee Wortham's specialty?

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

Is Karlee Wortham enrolled in Medicare?

Yes. Karlee Wortham 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.

Is Karlee Wortham affiliated with any hospitals?

According to CMS data, Karlee Wortham is affiliated with Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Karlee Wortham was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.