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DR. KAREN EILEEN GARCIA DO
NPI 1891954400
Pediatrics in Kalamazoo, MI

Active since June 09, 2008PECOS Enrolled
601 JOHN ST STE M-351, KALAMAZOO, MI 49007(269) 341-6800(269) 341-7703 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2020, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Karen Eileen Garcia Do NPPES

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

DR. KAREN EILEEN GARCIA DO (NPI 1891954400) is an individual pediatrics provider in Kalamazoo, Michigan, licensed in Michigan (5101017697) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Battle Creek.

NPPES Registry Identity

NPI1891954400
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KAREN EILEEN GARCIACredential: DO
Location Address601 JOHN ST STE M-351Kalamazoo, MI 49007-5358
Mailing Address601 John St Ste M352Kalamazoo, MI 49007-5341 · (269) 341-8986
Phone(269) 341-6800
Fax(269) 341-7703
Sole ProprietorNo
Enumeration DateJune 9, 2008
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1891954400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 5101017697
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
601 JOHN ST STE M-351, Kalamazoo, MI 49007
Open in Google Maps ↗

Secondary Practice Location 1

Location 1181 Emmett St WBattle Creek, MI 49037-2963 · Phone (269) 965-8866

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karen Eileen Garcia Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Karen Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bronson Methodist Hospital
Same address
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
NPI 1417961137 (269) 341-7654
Garcia Consulting And Lactation Services PLLC
18 mi
Health Service
287 MINGES HILLS DR
Battle Creek, MI 49015
  • Reassigned Medicare billing, Michigan enrollment
NPI 1083328397 (269) 873-7380

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 49007 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 10

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

KERRY STORMS M.D.
Pediatrics
601 JOHN ST STE M-351
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-8986
TANBEENA IMAM M.D.
Pediatrics (Pediatric Gastroenterology)
601 JOHN ST STE M-351
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7784
DR. KRISTIE H KOEHLER M.D.
Pediatrics
601 JOHN ST STE M-351
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-8986
PATRICIA VINING-MARAVOLO NP-C
Nurse Practitioner (Pediatrics)
601 JOHN ST STE M-351
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-8850
RYAN HALAS DO
Pediatrics
601 JOHN ST STE M-351
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-8796
SHAWN O'SHAY URBAIN RD
Dietitian, Registered
601 JOHN ST STE M-351
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7905
LISA MARYANN MARSH
Physician Assistant
601 JOHN ST STE M-351
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-6900
BRIAN CLEARY MD
Pediatrics
601 JOHN ST STE M-351
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-8796

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 Garcia's NPI number?

The NPI number for Karen Garcia is 1891954400. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Karen Garcia located?

Karen Garcia practices at 601 John St Ste M-351, Kalamazoo, MI 49007. The listed phone number is (269) 341-6800.

What is Karen Garcia's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Karen Garcia enrolled in Medicare?

Yes. Karen Garcia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Garcia reassigns Medicare benefits to 2 organizations: Bronson Methodist Hospital (Kalamazoo, MI) and Garcia Consulting And Lactation Services PLLC (Battle Creek, MI). 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 Karen Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Garcia accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Karen Garcia 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.

When was this NPI record last updated?

The NPPES record for Karen Garcia was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.