MRS. KAREN JANE DUCHARME APRN, NP-C
NPI 1801109541
Nurse Practitioner - Family in Concord, NH

Active since July 22, 2010PECOS EnrolledAccepts Medicare Assignment
89.36/100
CMS Quality Rating
18 FOUNDRY ST, SUITE 201, CONCORD, NH 03301(603) 228-0071(603) 228-7014 Get Directions Write a Review

NPPES record last updated: July 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Karen Jane Ducharme Aprn, Np-c NPPES

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

MRS. KAREN JANE DUCHARME APRN, NP-C (NPI 1801109541) is an individual family provider in Concord, New Hampshire, licensed in New Hampshire (047847-23) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1801109541
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KAREN JANE DUCHARMECredential: APRN, NP-C
Location Address18 FOUNDRY ST, SUITE 201Concord, NH 03301-5421
Mailing Address18 Foundry St, Suite 201Concord, NH 03301-5421 · (603) 228-0071 · Fax (603) 228-7014
Fax(603) 228-7014
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 22, 2010
NPI 1801109541 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 NH · 047847-23
18 FOUNDRY ST, Concord, NH 03301

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

Mrs. Karen Jane Ducharme Aprn, Np-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 ID5496949927
PECOS Enrollment IDI20101028001307
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 6

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.
161 services107 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
136 services75 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.
83 services73 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.
67 services67 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
61 services42 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
44 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Concord Hospital

Acute Care Hospitals · Concord, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300001
Location250 Pleasant StConcord, NH 03301 · Merrimack County
Birthing friendly

Concord Hospital- Laconia

Acute Care Hospitals · Laconia, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300005
Location80 Highland StLaconia, NH 03246 · Belknap County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03301 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

89.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
3 suppliers13 claims24 services$6.07 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 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 11

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

Nurse Practitioner (Family)
18 FOUNDRY ST, SUITE 201
CONCORD, NH 03301
Nurse Practitioner (Family)
18 FOUNDRY ST, SUITE 201
CONCORD, NH 03301
Nurse Practitioner (Adult Health)
18 FOUNDRY ST, SUITE 103
CONCORD, NH 03301
Nurse Practitioner (Family)
18 FOUNDRY ST, SUITE 201
CONCORD, NH 03301
Family Medicine
18 FOUNDRY ST, SUITE 201
CONCORD, NH 03301
Family Medicine
18 FOUNDRY ST, SUITE 201
CONCORD, NH 03301
Dietitian, Registered
18 FOUNDRY ST
CONCORD, NH 03301
Internal Medicine
18 FOUNDRY ST
CONCORD, NH 03301

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 Ducharme's NPI number?

The NPI number for Karen Ducharme is 1801109541. It was assigned to this individual provider in the NPPES registry on July 22, 2010.

Where is Karen Ducharme located?

Karen Ducharme practices at 18 Foundry St Suite 201, Concord, NH 03301. The listed phone number is (603) 228-0071.

What is Karen Ducharme's specialty?

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

Is Karen Ducharme enrolled in Medicare?

Yes. Karen Ducharme 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 Ducharme accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Karen Ducharme 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 Ducharme affiliated with any hospitals?

According to CMS data, Karen Ducharme is affiliated with Concord Hospital and Concord Hospital- Laconia.

When was this NPI record last updated?

The NPPES record for Karen Ducharme was last updated on July 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.