KAREN ANN ALSTON CNP NPI 1881164986

Nurse Practitioner (Family) in Concord Twp, OH

NPI 1881164986 Individual Female Years of Experience 4 Nurse Practitioner Family PECOS Enrolled Accepts Medicare Approved Payment

About KAREN ALSTON

Karen Alston is a provider established in Concord Twp, Ohio and her medical specialization is nurse practitioner (family) with more than 4 years of experience. The NPI number of Karen Alston is 1881164986 and was assigned on November 2018. The practitioner's primary taxonomy code is 363LF0000X with license number APRN.CNP.023307 (OH). The provider is registered as an individual and her NPI record was last updated 3 years ago.

A nurse practitioner (NP) like Karen Ann Alston Cnp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Karen Alston 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

Karen Alston 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. According to Medicare claims data she has hospital affiliations with Lake Health.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.93 for a new patient copayment and $25.3 for an established patient copayment.

NPI

1881164986

Provider Name KAREN ANN ALSTON CNP
Provider Location Address7590 AUBURN RD CONCORD TWP, OH 44077
Provider Mailing Address17 ALLEN AVE PAINESVILLE, OH 44077
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2018
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-30-2018
Last Update Date11-30-2018


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.APRN.CNP.023307
License StateOH

Business Address

KAREN ANN ALSTON CNP
7590 AUBURN RD
CONCORD TWP, OH
ZIP 44077
Phone: (440) 375-8100

Get Directions


Mailing Address

KAREN ANN ALSTON CNP
17 ALLEN AVE
PAINESVILLE, OH
ZIP 44077
Phone: (440) 725-4314



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 ID7315284114
PECOS Enrollment IDI20190201001483
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 44077 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.74 $173.94 $87.72
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.18 $43.48 $21.93
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
$17.31 $141.66 $101.2
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.32 $35.41 $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.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Karen Alston is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
LAKE HEALTH7590 AUBURN ROAD
CONCORD, OH 44077
(440) 953-9600Acute Care Hospitals360098

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346496163 MARK WARREN NELSON D.O.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 354-4208
1356675003LAKE HOSPITAL SYSTEM, INC
Organization
General Acute Care Hospital7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 953-9600
1861799264 DEBORAH A MANUEL PA
Individual
Physician Assistant7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 375-8100
1194166041 RENEE MICHELLE DESALVO AT, ATC
Individual
Specialist/Technologist (Athletic Trainer)7590 AUBURN RD
PAINESVILLE, OH 44077
(440) 781-1689
1396170940 ANTHONY DAVID PASSERALLO
Individual
Physician Assistant7590 AUBURN RD
PAINESVILLE, OH 44077
(440) 357-8100
1427374990DR. SCOTT C FORSTER M.D.
Individual
Internal Medicine7590 AUBURN RD
PAINESVILLE, OH 44077
(440) 375-8100
1598164873 SAMANTHA FROIMSON
Individual
Dietitian, Registered7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 375-8735
1548665466 CALEB SCHWIETERMAN PA-C
Individual
Physician Assistant7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 375-8100
1508256975 SUSAN PERDUE SCHULTZ CNP
Individual
Nurse Practitioner (Family)7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 375-8100
1124492590MISS LEAH ASHLEY AFSARIFARD ATC
Individual
Specialist/Technologist (Athletic Trainer)7590 AUBURN RD
PAINESVILLE, OH 44077
(440) 375-8100
1548229552DRS HILL AND CHAPNICK INC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 354-4208
1114373487 PAMELA BRUNNER
Individual
Social Worker (Clinical)7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 354-1104
1851698435LAKE HOSPITAL SYSTEM INC
Organization
Physician Assistant7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 375-8100
1962937185JUBILEE HEALTHCARE, LLC
Organization
Durable Medical Equipment & Medical Supplies7590 AUBURN RD SUITE 214
PAINESVILLE, OH 44077
(844) 774-6328
1043275837LAKE HOSPITAL SYSTEM INC.
Organization
Nurse Practitioner (Adult Health)7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 375-8152
1972014694 DAVID J. NOCIFORA PA-C
Individual
Physician Assistant7590 AUBURN RD
PAINESVILLE, OH 44077
(440) 375-8100
1578075321 JUDY MINDZORA
Individual
Nurse Practitioner7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 354-1899
1487040879 JULIE POKERSNIK M.D.
Individual
Emergency Medicine7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 375-8100
1295208007 STEPHEN TANOMA ZAHORANSKY
Individual
Physician Assistant (Surgical)7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 375-8100
1881237378 BRIANNE SKAROS FNP
Individual
Nurse Practitioner7590 AUBURN RD
CONCORD TWP, OH 44077
(440) 953-9600

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.