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KAREN LYNN JEFFREY NP
NPI 1861593428
Nurse Practitioner - Adult Health in Fairhaven, MA

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
200 MILL RD, SUITE 190, FAIRHAVEN, MA 02719(508) 973-0857(508) 973-2176 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Lynn Jeffrey Np NPPES

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

KAREN LYNN JEFFREY NP (NPI 1861593428) is an individual adult health provider in Fairhaven, Massachusetts, licensed in Massachusetts (212305) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1861593428
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKAREN LYNN JEFFREYCredential: NP
Location Address200 MILL RD, SUITE 190Fairhaven, MA 02719-5252
Mailing Address200 Mill Rd, Suite 180Fairhaven, MA 02719-5252 · (508) 973-2000 · Fax (508) 973-2001
Phone(508) 973-0857
Fax(508) 973-2176
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 26, 2006
Last NPPES UpdateApril 22, 2020
NPPES CertifiedApril 22, 2020
✔ NPI 1861593428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · 212305
200 MILL RD, Fairhaven, MA 02719
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Lynn Jeffrey 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 ID2961423934
PECOS Enrollment IDI20051219000271
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 10

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
657 services168 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
325 services130 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
136 services79 patients
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.
80 services61 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
53 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02719 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier30 claims30 services$14.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SOUTHCOAST HOSPITALS GROUP, INC
Hospice Care, Community Based
200 MILL RD
FAIRHAVEN, MA 02719
Bristol County (508) 984-0200
DAGNY E CARD PHARM D
Student in an Organized Health Care Education/Training Program
200 MILL RD
FAIRHAVEN, MA 02719
Bristol County (508) 910-0370
MRS. LILIBETH ALMEROL DAYAO PT
Physical Therapist
200 MILL RD
FAIRHAVEN, MA 02719
Bristol County (302) 932-0800
NEW BEDFORD MEDICAL ASSOCIATES PC
Clinic/Center (Multi-Specialty)
200 MILL RD
FAIRHAVEN, MA 02719
Bristol County (508) 985-5020
AMANDA RAPOSO MS, RD, LDN
Dietitian, Registered
200 MILL RD, SUITE 190
FAIRHAVEN, MA 02719
Bristol County (508) 973-2173
SUSAN ANNE BLISS MSW, LICSW
Social Worker (Clinical)
200 MILL RD
FAIRHAVEN, MA 02719
Bristol County (508) 973-3200
SOUTHCOAST HOSPITALS GROUP, INC
Home Infusion
200 MILL RD, SUITE 120
FAIRHAVEN, MA 02719
Bristol County (508) 973-3300
DR. JOHN EWING STIVELY III JOHN STIVELY
Family Medicine
200 MILL RD
FAIRHAVEN, MA 02719
Bristol County (508) 999-1100

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 Jeffrey's NPI number?

The NPI number for Karen Jeffrey is 1861593428. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Karen Jeffrey located?

Karen Jeffrey practices at 200 Mill Rd Suite 190, Fairhaven, MA 02719. The listed phone number is (508) 973-0857.

What is Karen Jeffrey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Karen Jeffrey enrolled in Medicare?

Yes. Karen Jeffrey 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.

What insurance does Karen Jeffrey accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Jeffrey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karen Jeffrey affiliated with any hospitals?

According to CMS data, Karen Jeffrey is affiliated with Sturdy Memorial Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Karen Jeffrey was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.