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KAREN A DUNCAN RNC, MSN
NPI 1932369865
Nurse Practitioner in Vineland, NJ

Active since June 13, 2008PECOS EnrolledAccepts Medicare Assignment
484 S BREWSTER RD, SUITE A1, VINELAND, NJ 08361(856) 696-0300(856) 696-2561 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karen A Duncan Rnc, Msn NPPES

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

KAREN A DUNCAN RNC, MSN (NPI 1932369865) is an individual nurse practitioner in Vineland, New Jersey, licensed in New Jersey (26NJ00160800) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Inspira Medical Center Mullica Hill, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1932369865
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN A DUNCANCredential: RNC, MSN
Location Address484 S BREWSTER RD, SUITE A1Vineland, NJ 08361-7874
Mailing Address484 S Brewster Rd, Suite A1Vineland, NJ 08361-7874 · (856) 696-0300 · Fax (856) 696-2561
Phone(856) 696-0300
Fax(856) 696-2561
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 13, 2008
Last NPPES UpdateFebruary 16, 2012
✔ NPI 1932369865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00160800
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
484 S BREWSTER RD, Vineland, NJ 08361
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Karen A Duncan Rnc, Msn 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 ID3678649639
PECOS Enrollment IDI20080828000036
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 Duncan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Care, Inc.
14 mi
Federally Qualified Health Center (FQHC)
30 NORTH PEARL STREET
Bridgeton, NJ 08302
  • Reassigned Medicare billing, New Jersey enrollment
  • 281 clinicians in this Medicare group
NPI 1700816816 (856) 451-4700
Regional Women's Health Group, LLC
26 mi
Obstetrics & Gynecology
227 LAUREL ROAD ECHELON ONE, SUITE 300
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Regional Womens Health Group LLC
  • 307 clinicians in this Medicare group
NPI 1548215536 (856) 669-6050

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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
36 services36 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
29 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services20 patients

Hospital Affiliations CMS Care Compare

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

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310069
Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08361 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 5

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

COMMUNITY HEALTH CARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
484 S BREWSTER RD
VINELAND, NJ 08361
Cumberland County (856) 691-3300
MISS RITA ANNE VASTANO RN, AAPN,C
Nurse Practitioner
484 S BREWSTER RD, SUITE A1
VINELAND, NJ 08361
Cumberland County (856) 696-0300
DR. MICHELE A TORCHIA M.D.
Specialist
484 S BREWSTER RD
VINELAND, NJ 08361
Cumberland County (856) 696-0300
SHELLY YAMASAKI APN
Nurse Practitioner (Women's Health)
484 S BREWSTER RD
VINELAND, NJ 08361
Cumberland County (856) 451-4700
VINELAND OBSTETRICAL & GYNECOLOGIAL PROFESSIONAL ASSOCIATION
Obstetrics & Gynecology
484 S BREWSTER RD, SUITE A-1
VINELAND, NJ 08361
Cumberland County (856) 696-0300

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 Duncan's NPI number?

The NPI number for Karen Duncan is 1932369865. It was assigned to this individual provider in the NPPES registry on June 13, 2008.

Where is Karen Duncan located?

Karen Duncan practices at 484 S Brewster Rd Suite A1, Vineland, NJ 08361. The listed phone number is (856) 696-0300.

What is Karen Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karen Duncan enrolled in Medicare?

Yes. Karen Duncan 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 Karen Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Duncan reassigns Medicare benefits to 2 organizations: Community Health Care, Inc. (Bridgeton, NJ) and Regional Women's Health Group, LLC (Voorhees, NJ). 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 Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Duncan accept?

Health plans from Oscar Health list Karen Duncan 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 Duncan affiliated with any hospitals?

According to CMS data, Karen Duncan is affiliated with Inspira Medical Center Mullica Hill.

When was this NPI record last updated?

The NPPES record for Karen Duncan was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.