KAREN POWELL FNP-BC
NPI 1811498520
Nurse Practitioner - Family in Middletown, NJ

Active since February 27, 2018PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
480 RED HILL RD, MIDDLETOWN, NJ 07748(848) 225-6121 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 3, 2018, Feb 27, 2018 (2 updates tracked since 2018).

About Karen Powell Fnp-bc NPPES

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

KAREN POWELL FNP-BC (NPI 1811498520) is an individual family provider in Middletown, New Jersey, licensed in New Jersey (26NJ00688700) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1811498520
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN POWELLCredential: FNP-BC
Location Address480 RED HILL RDMiddletown, NJ 07748-3052
Mailing Address480 Red Hill RdMiddletown, NJ 07748-3052 · (848) 225-6121
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 27, 2018
Last NPPES UpdateMay 3, 20182 updates tracked since enumeration
NPI 1811498520 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 NJ · 26NJ00688700
480 RED HILL RD, Middletown, NJ 07748

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 Powell Fnp-bc 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 ID5395095319
PECOS Enrollment IDI20180912000992
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
31 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07748 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.76
Improvement Activities40

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.

General Acute Care Hospital
480 RED HILL RD
MIDDLETOWN, NJ 07748
Nurse Anesthetist, Certified Registered
480 RED HILL RD
MIDDLETOWN, NJ 07748
Radiology (Diagnostic Radiology)
480 RED HILL RD, MEMORIAL SLOAN KETTERING CANCER CENTER
MIDDLETOWN, NJ 07748
Pharmacist
480 RED HILL RD
MIDDLETOWN, NJ 07748
Physician Assistant (Surgical)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Pharmacist
480 RED HILL RD
MIDDLETOWN, NJ 07748
Radiology (Diagnostic Radiology)
480 RED HILL RD, MSKCC, DEPARTMENT OF RADIOLOGY
MIDDLETOWN, NJ 07748
Pharmacist (Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811498520, enumerated as an "individual" on February 27, 2018.

The provider is located at 480 RED HILL RD MIDDLETOWN, NJ 07748 and the phone number is (848) 225-6121.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.