KAREN LYNN MODRZEJEWSKI PMHNP-BC
NPI 1831491059
Nurse Practitioner - Psychiatric/Mental Health in Marana, AZ

Q: What is Karen Modrzejewski's NPI number?

The NPI number for Karen Modrzejewski is 1831491059. It was assigned to this individual provider in the NPPES registry on November 19, 2010.

Q: What is Karen Modrzejewski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 19, 2010PECOS EnrolledAccepts Medicare Assignment

13395 N MARANA MAIN ST BLDG B, MARANA, AZ 85653(520) 682-1091(520) 682-4132 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2021, Jan 13, 2021, Aug 29, 2018 and 1 more (4 updates tracked since 2018).

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About Karen Lynn Modrzejewski Pmhnp-bc NPPES

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

KAREN LYNN MODRZEJEWSKI PMHNP-BC (NPI 1831491059) is an individual psychiatric/mental health provider in Marana, Arizona, licensed in Arizona (AP10946) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1831491059

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKAREN LYNN MODRZEJEWSKICredential: PMHNP-BC

Location Address13395 N MARANA MAIN ST BLDG BMarana, AZ 85653-7008

Mailing AddressPo Box 188Marana, AZ 85653-0188 · (520) 682-4111 · Fax (520) 818-3630

Phone(520) 682-1091

Fax(520) 682-4132

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 19, 2010

Last NPPES UpdateJuly 22, 20214 updates tracked since enumeration

NPPES CertifiedJuly 22, 2021

✔ NPI 1831491059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · AP10946

Also ListedRegistered NurseTaxonomy 163W00000X · License 114985 (AZ)

13395 N MARANA MAIN ST BLDG B, Marana, AZ 85653

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Other Identifiers 1

Medicaid354315AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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 Lynn Modrzejewski Pmhnp-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 ID6901167451

PECOS Enrollment IDI20180227000357

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 Modrzejewski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marana Health Center Inc

Same address

Federally Qualified Health Center (FQHC)

13395 N MARANA MAIN ST
Marana, AZ 85653

Reassigned Medicare billing, Arizona enrollment
169 clinicians in this Medicare group

NPI 1164526471 (520) 682-4111

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85653 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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.

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