KAREN POWELL FNP-BC
NPI 1811498520
Nurse Practitioner - Family in Middletown, NJ
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
Specialties & Licenses
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 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.
Medicare Billing Reassignments
3Medicare enrollment records show Karen Powell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middletown, NJ 07748
- Reassigned Medicare billing, New Jersey enrollment
- 464 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 452 clinicians in this Medicare group
Montvale, NJ 07645
- Reassigned Medicare billing, New Jersey enrollment
- 401 clinicians in this Medicare group
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
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.
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.
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.
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.
MIDDLETOWN, NJ 07748
MIDDLETOWN, NJ 07748
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 Powell's NPI number?
The NPI number for Karen Powell is 1811498520. It was assigned to this individual provider in the NPPES registry on February 27, 2018.
Where is Karen Powell located?
Karen Powell practices at 480 Red Hill Rd, Middletown, NJ 07748. The listed phone number is (848) 225-6121.
What is Karen Powell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Karen Powell enrolled in Medicare?
Yes. Karen Powell 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 organizations bill Medicare for Karen Powell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Powell reassigns Medicare benefits to 3 organizations: Msk Monmouth (Middletown, NJ), Mskcc Surgery Group (New York, NY) and Msk Bergen (Montvale, NJ). Each 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 Powell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Karen Powell was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Karen Powell, FNP-BC · NPI 1811498520
Family physician in Middletown, New Jersey. Individual provider, active in the CMS NPPES registry since February 27, 2018.
## Identity
- **NPI:** 1811498520 (Entity type: Individual)
- **Enumerated:** February 27, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ00688700 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 480 RED HILL RD, Middletown, NJ 07748-3052
- **Phone:** (848) 225-6121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Msk Monmouth (NPI 1922459163, Middletown, NJ); Mskcc Surgery Group (NPI 1699766261, New York, NY); Msk Bergen (NPI 1558814657, Montvale, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 3, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1811498520) · Data from the CMS NPPES public registry.