DR. KARIN LARISSA NICHOLSON MD NPI 1871584540
Internal Medicine (Pulmonary Disease) in Fort Hood, TX
About KARIN NICHOLSON
Karin Nicholson is an internal medicine provider established in Fort Hood, Texas and her medical specialization is internal medicine (pulmonary disease) with more than 22 years of experience. The NPI number of Karin Nicholson is 1871584540 and was assigned on November 2005. The practitioner's primary taxonomy code is 207RP1001X with license number 01056268A (IN). The provider is registered as an individual and her NPI record was last updated December 2021.
An internist like Dr. Karin Larissa Nicholson Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Karin Nicholson is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices
Karin Nicholson is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.67 for a new patient copayment and $25.3 for an established patient copayment.
| NPI | 1871584540 |
| Provider Name | DR. KARIN LARISSA NICHOLSON MD |
| Provider Location Address | 36000 DARNALL LOOP MCHE-QD (CREDS) FORT HOOD, TX 76544 |
| Provider Mailing Address | 1105 WAIMEA BND ROUND ROCK, TX 78681 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2000 |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 11-02-2005 |
| Last Update Date | 12-27-2021 |
Primary Taxonomy
| Taxonomy Code | 207RP1001X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Pulmonary Disease |
| License No. | 01056268A |
| License State | IN |
| Taxonomy Description | An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Business Address
DR. KARIN LARISSA NICHOLSON MD
36000 DARNALL LOOP
MCHE-QD (CREDS)
FORT HOOD, TX
ZIP 76544
Phone: (254) 288-8921
Fax: (254) 288-8712
Mailing Address
DR. KARIN LARISSA NICHOLSON MD
1105 WAIMEA BND
ROUND ROCK, TX
ZIP 78681
Phone: (254) 288-8921
Fax: (254) 288-8712
Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 749457034 |
| PECOS Enrollment ID | I20210917001037 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 76544 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $56.75 | $172.6 | $130.71 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.18 | $43.15 | $32.67 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.72 | $141.29 | $101.2 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.43 | $35.32 | $25.3 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 01056268A | IN | No | |
Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. | |||||||
| 2 | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 01056268A | IN | No |
Taxonomy Description: an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. | |||||||
| 3 | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | 01056268A | IN | No |
Taxonomy Description: an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. | |||||||
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447253828 | ERIN MICHELLE HALL PAC Individual | Physician Assistant | 36000 DARNALL LOOP CARL R DARNALL AMC FORT HOOD, TX 76544 (254) 288-8000 |
| 1538166699 | DR. NANCY ANNE RADEBAUGH PHARMD Individual | Pharmacist (Pharmacotherapy) | 36000 DARNALL LOOP FORT HOOD, TX 76544 (254) 286-7069 |
| 1538168224 | MS. GEORGIA BUTLER CNM Individual | Midwife | 36000 DARNALL LOOP CRDAMC FT. HOOD, TX 76544 (254) 288-8106 |
| 1477553220 | MS. YANIRA VAZQUEZ R.PH. Individual | Pharmacist | 36000 DARNALL LOOP DARNALL ARMY COMMUNITY HOSPITAL, PHARMACY DEPT. FORT HOOD, TX 76544 (254) 286-7710 |
| 1902887383 | DR. JAMES GRANT MILLER JR. M.D. Individual | Radiology (Diagnostic Radiology) | 36000 DARNALL LOOP CRDAMC FORT HOOD, TX 76544 (254) 288-8945 |
| 1568442796 | DR. WESLEY B LUEG PHARMD Individual | Pharmacist | 36000 DARNALL LOOP FORT HOOD, TX 76544 (254) 288-8801 |
| 1700858172 | MS. CARMEN DININO ALSPACH L.P.C., L.C.D.C. Individual | Counselor (Professional) | 36000 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER, FORT HOOD, TX 76544 (512) 694-1261 |
| 1881667384 | MR. PHILIP P AINSLIE R.PH. Individual | Pharmacist (Pharmacotherapy) | 36000 DARNALL LOOP FORT HOOD, TX 76544 (254) 286-7335 |
| 1720047368 | MRS. LESLIE SUSAN RENDEIRO RN, MSN, CNM Individual | Advanced Practice Midwife | 36000 DARNALL LOOP ATTN: CREDENTIALS (CMC) FORT HOOD, TX 76544 (254) 288-8387 |
| 1629037015 | MS. LAURA MAY HUBBARD PA-C, RD,LD Individual | Physician Assistant | 36000 DARNALL LOOP CARL R DARNALL ARMY MEDICAL CENTER FORT HOOD, TX 76544 (254) 288-8025 |
| 1659334019 | TERESA BAKER NNP Individual | Nurse Practitioner (Neonatal) | 36000 DARNALL LOOP FORT HOOD, TX 76544 (254) 288-8415 |
| 1538119896 | DR. CLIFFORD DAVID FRIESEN M. D. Individual | Allergy & Immunology | 36000 DARNALL LOOP ALLERGY CLINIC, CARL R. DARNALL ARMY MEDICAL CENTER FORT HOOD, TX 76544 (254) 285-6335 |
| 1467402743 | DR. GARY PAUL HOLMES M.D. Individual | Internal Medicine (Infectious Disease) | 36000 DARNALL LOOP MCXI-MED FORT HOOD, TX 76544 (254) 288-8090 |
| 1326090176 | DR. ERIC JACQUES RUBEL M.D. Individual | Family Medicine | 36000 DARNALL LOOP DARNALL ARMY MEDICAL CENTER FORT HOOD, TX 76544 (254) 288-8482 |
| 1366482291 | MS. CHRISTINE MARIE CONDE LVN Individual | Licensed Vocational Nurse | 36000 DARNALL LOOP CARL R DARNALL ARMY MED CTR GEN SURGERY UROLOGY CLINIC FORT HOOD, TX 76544 (254) 288-8048 |
| 1811937691 | KAREN JONES SPANGLE MD Individual | Emergency Medicine | 36000 DARNALL LOOP CARL R DARNALL ARMY MEDICAL CENTER FORT HOOD, TX 76544 (254) 288-8302 |
| 1437190121 | MR. JEFFREY LYNN SPIVEY PAC Individual | Physician Assistant | 36000 DARNALL LOOP DEPT OF ORTHOPEADIC & REHABILITATION SERVICES FORT HOOD, TX 76544 (254) 286-7973 |
| 1720023716 | MR. TERRY PAUL VALENTINO LPN Individual | Licensed Practical Nurse | 36000 DARNALL LOOP CARL R DARNALL ARMY MEDICAL CENTER PODIATRY CLINIC FORT HOOD, TX 76544 (254) 288-8196 |
| 1538104534 | MRS. KATHLEEN DEANNE MARTIN MSPT Individual | Physical Therapist | 36000 DARNALL LOOP CARL R DARNALL ARMY MEDICAL CENTER FORT HOOD, TX 76544 (254) 288-8040 |
| 1124054796 | MS. TERRY OKEEFE MD Individual | Radiology (Diagnostic Radiology) | 36000 DARNALL LOOP CARL R DARNALL ARMY MEDICAL CENTER DEPT OF RADIOLOGY FORT HOOD, TX 76544 (254) 288-8300 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.