KAREN NELSON FNP-C
NPI 1770062440
Nurse Practitioner - Family in Avon, IN

Active since August 13, 2018PECOS EnrolledAccepts Medicare Assignment
8607 E US HIGHWAY 36 STE 100, AVON, IN 46123(317) 745-5403 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2022, Apr 22, 2022, Oct 16, 2018 and 1 more (4 updates tracked since 2018).

About Karen Nelson Fnp-c NPPES

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

KAREN NELSON FNP-C (NPI 1770062440) is an individual family provider in Avon, Indiana, licensed in Indiana (71008469A) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Hendricks Regional Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770062440
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN NELSONCredential: FNP-C
Location Address8607 E US HIGHWAY 36 STE 100Avon, IN 46123-7960
Mailing Address8607 E Us Highway 36 Ste 100Avon, IN 46123-7960 · (317) 745-5403
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 13, 2018
Last NPPES UpdateApril 28, 20224 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
NPI 1770062440 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 IN · 71008469A
8607 E US HIGHWAY 36 STE 100, Avon, IN 46123

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 Nelson 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 ID941554638
PECOS Enrollment IDI20181115001804
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 8

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.
138 services102 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
104 services74 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.
49 services42 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Hendricks Regional Health

Acute Care Hospitals · Danville, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150005
Location1000 E Main StDanville, IN 46122 · Hendricks County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims29 services$5.24 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers17 claims17 services$17.40 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims19 services$30.62 avg. paid by Medicare
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
3 suppliers17 claims17 services$88.88 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 12

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

Nurse Practitioner (Family)
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Family Medicine
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Family Medicine
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Durable Medical Equipment & Medical Supplies
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Internal Medicine
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Psychiatry & Neurology (Neurology)
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Nurse Practitioner
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Nurse Practitioner (Family)
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123

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 Nelson's NPI number?

The NPI number for Karen Nelson is 1770062440. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Karen Nelson located?

Karen Nelson practices at 8607 E Us Highway 36 Ste 100, Avon, IN 46123. The listed phone number is (317) 745-5403.

What is Karen Nelson's specialty?

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

Is Karen Nelson enrolled in Medicare?

Yes. Karen Nelson 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 Nelson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Karen Nelson 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 Nelson affiliated with any hospitals?

According to CMS data, Karen Nelson is affiliated with Hendricks Regional Health and Iu Health West Hospital.

When was this NPI record last updated?

The NPPES record for Karen Nelson was last updated on April 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.