KARA PAXTON NP
NPI 1851178834
Nurse Practitioner - Acute Care in Fredericksburg, VA

Active since September 12, 2023PECOS EnrolledAccepts Medicare Assignment
1201 SAM PERRY BLVD STE 280, FREDERICKSBURG, VA 22401(540) 741-5501 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kara Paxton Np NPPES

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

KARA PAXTON NP (NPI 1851178834) is an individual acute care provider in Fredericksburg, Virginia, licensed in Virginia (0024187748) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (2023).

NPPES Registry Identity

NPI1851178834
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKARA PAXTONCredential: NP
Location Address1201 SAM PERRY BLVD STE 280Fredericksburg, VA 22401-8400
Mailing Address8402 Devries LnSpotsylvania, VA 22553-1897
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2023
Enumeration DateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1851178834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in VA · 0024187748
1201 SAM PERRY BLVD STE 280, Fredericksburg, VA 22401

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

Kara Paxton Np 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 ID7113378951
PECOS Enrollment IDI20240105003078
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 Reassignments

2

Medicare enrollment records show Kara Paxton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 323 clinicians in this Medicare group
Cardiovascular Disease
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 133 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 5

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.
134 services90 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
51 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490140
Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 11

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

Internal Medicine (Cardiovascular Disease)
1201 SAM PERRY BLVD STE 280
FREDERICKSBURG, VA 22401
Nurse Practitioner (Family)
1201 SAM PERRY BLVD STE 280
FREDERICKSBURG, VA 22401
Internal Medicine (Cardiovascular Disease)
1201 SAM PERRY BLVD STE 280
FREDERICKSBURG, VA 22401
Nurse Practitioner (Acute Care)
1201 SAM PERRY BLVD STE 280
FREDERICKSBURG, VA 22401
Nurse Practitioner
1201 SAM PERRY BLVD STE 280
FREDERICKSBURG, VA 22401
Internal Medicine (Cardiovascular Disease)
1201 SAM PERRY BLVD STE 280
FREDERICKSBURG, VA 22401
Nurse Practitioner (Family)
1201 SAM PERRY BLVD STE 280
FREDERICKSBURG, VA 22401
Nurse Practitioner (Adult Health)
1201 SAM PERRY BLVD STE 280
FREDERICKSBURG, VA 22401

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 Kara Paxton's NPI number?

The NPI number for Kara Paxton is 1851178834. It was assigned to this individual provider in the NPPES registry on September 12, 2023.

Where is Kara Paxton located?

Kara Paxton practices at 1201 Sam Perry Blvd Ste 280, Fredericksburg, VA 22401. The listed phone number is (540) 741-5501.

What is Kara Paxton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kara Paxton enrolled in Medicare?

Yes. Kara Paxton 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 Kara Paxton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kara Paxton reassigns Medicare benefits to 2 organizations: Mary Washington Healthcare Providers LLC (Fredericksburg, VA) and Mary Washington Hospital, Inc. (Fredericksburg, VA). 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 Kara Paxton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kara Paxton affiliated with any hospitals?

According to CMS data, Kara Paxton is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Kara Paxton was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.