KAREN SCHOWALTER D.O.
NPI 1770945065
Family Medicine in Tacoma, WA

Q: What is Karen Schowalter's NPI number?

The NPI number for Karen Schowalter is 1770945065. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Q: What is Karen Schowalter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Schowalter was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment

5741 N 26TH ST UNIT 115, TACOMA, WA 98407(253) 756-3737(360) 744-5123 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 9, 2020, Nov 6, 2019, Mar 24, 2016 (3 updates tracked since 2016).

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About Karen Schowalter D.o. NPPES

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

KAREN SCHOWALTER D.O. (NPI 1770945065) is an individual family medicine provider in Tacoma, Washington, licensed in Washington (OP60958257) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and maintains a secondary practice location in Puyallup.

NPPES Registry Identity

NPI1770945065

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKAREN SCHOWALTERCredential: D.O.

Location Address5741 N 26TH ST UNIT 115Tacoma, WA 98407-2415

Mailing Address5741 N 26th St Unit 115Tacoma, WA 98407-2415 · (253) 756-3737 · Fax (360) 744-5123

Phone(253) 756-3737

Fax(360) 744-5123

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 24, 2016

Last NPPES UpdateDecember 9, 20203 updates tracked since enumeration

NPPES CertifiedDecember 9, 2020

✔ NPI 1770945065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · OP60958257

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5741 N 26TH ST UNIT 115, Tacoma, WA 98407

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Secondary Practice Location 1

Location 11322 3rd St SE Ste 240Puyallup, WA 98372-3771 · Phone (253) 697-1420 · Fax (253) 697-1439

Other Identifiers 1

Medicaid2064738WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Schowalter D.o. 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 ID2163718164

PECOS Enrollment IDI20191209001802

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.

Medicare Billing Reassignment

Medicare enrollment records show Karen Schowalter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Franciscan Medical Group

3.9 mi

Anesthesiology

1313 BROADWAY, SUITE 200
Tacoma, WA 98402

Reassigned Medicare billing, Washington enrollment
1,526 clinicians in this Medicare group

NPI 1831358282 (253) 426-6306

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

394 services191 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

95 services95 patients

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446

This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.

89 services89 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.

86 services86 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

73 services73 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.

38 services35 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

32 services28 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

30 services24 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.

29 services26 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

27 services27 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.

27 services27 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

15 services15 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

15 services15 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

St Clare Hospital

Acute Care Hospitals · Lakewood, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500021

Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County

Emergency services

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500108

Location1717 South J StreetTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

St Francis Community Hospital

Acute Care Hospitals · Federal Way, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500141

Location34515 9th Avenue SFederal Way, WA 98003 · King County

Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500151

Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98407 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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

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

6 suppliers14 claims25 services$4.24 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 3

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

MR. DANIEL LEE HAGEMAN ARNP

Nurse Practitioner (Family)

5741 N 26TH ST UNIT 115
TACOMA, WA 98407

Pierce County (253) 756-3737

JESSE K BIVENS ARNP

Nurse Practitioner (Family)

5741 N 26TH ST UNIT 115
TACOMA, WA 98407

Pierce County (253) 756-3737

MI THI TRIEU TRAN ARNP

Nurse Practitioner (Primary Care)

5741 N 26TH ST UNIT 115
TACOMA, WA 98407

Pierce County (253) 756-3737

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 Schowalter's NPI number?

The NPI number for Karen Schowalter is 1770945065. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Karen Schowalter located?

Karen Schowalter practices at 5741 N 26th St Unit 115, Tacoma, WA 98407. The listed phone number is (253) 756-3737.

What is Karen Schowalter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karen Schowalter enrolled in Medicare?

Yes. Karen Schowalter 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.

Which organization bills Medicare for Karen Schowalter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Schowalter reassigns Medicare benefits to Franciscan Medical Group (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Schowalter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Schowalter accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Karen Schowalter 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 Schowalter affiliated with any hospitals?

According to CMS data, Karen Schowalter is affiliated with St Clare Hospital, St Joseph Medical Center, St Francis Community Hospital and St Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Karen Schowalter was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.