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HEATHER KARENBAUER
NPI 1801908835
Nurse Practitioner - Women's Health in Grove City, PA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1424 W MAIN ST STE 3, GROVE CITY, PA 16127(724) 458-7737(724) 458-7388 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2024, Apr 6, 2021, Aug 26, 2016 (3 updates tracked since 2016).

About Heather Karenbauer NPPES

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

HEATHER KARENBAUER (NPI 1801908835) is an individual women's health provider in Grove City, Pennsylvania, licensed in Pennsylvania (SP007832) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Horizon, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1801908835
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameHEATHER KARENBAUER
Location Address1424 W MAIN ST STE 3Grove City, PA 16127-1067
Mailing Address1424 W Main St Ste 3Grove City, PA 16127-1067 · (724) 458-7737 · Fax (724) 458-7388
Phone(724) 458-7737
Fax(724) 458-7388
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1801908835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in PA · SP007832
1424 W MAIN ST STE 3, Grove City, PA 16127
Open in Google Maps ↗

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

Heather Karenbauer 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 ID3678513645
PECOS Enrollment IDI20120628000242
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.
18 services15 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16127 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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 Heather Karenbauer's NPI number?

The NPI number for Heather Karenbauer is 1801908835. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Heather Karenbauer located?

Heather Karenbauer practices at 1424 W Main St Ste 3, Grove City, PA 16127. The listed phone number is (724) 458-7737.

What is Heather Karenbauer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Heather Karenbauer enrolled in Medicare?

Yes. Heather Karenbauer 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 Heather Karenbauer affiliated with any hospitals?

According to CMS data, Heather Karenbauer is affiliated with Upmc Horizon and Grove City Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Karenbauer was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.