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KAREN R HUGHES FNP-C
NPI 1942793039
Nurse Practitioner in Sunbury, OH

Active since June 13, 2018PECOS Enrolled
44 S. KITNER PARKWAY, SUNBURY, OH 43074(220) 248-5107 Get Directions Write a Review

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

Record update history: Jan 27, 2026, Jun 13, 2018 (2 updates tracked since 2018).

About Karen R Hughes Fnp-c NPPES

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

KAREN R HUGHES FNP-C (NPI 1942793039) is an individual nurse practitioner in Sunbury, Ohio, licensed in Ohio (APRN.CNP.022817) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942793039
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN R HUGHESCredential: FNP-C
Location Address44 S. KITNER PARKWAYSunbury, OH 43074
Mailing Address7041 Crown DrGalena, OH 43021-3201 · (614) 270-4591
Phone(220) 248-5107
Sole ProprietorNo
Enumeration DateJune 13, 2018
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1942793039 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 OH · APRN.CNP.022817
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.
44 S. KITNER PARKWAY, Sunbury, OH 43074
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen R Hughes Fnp-c 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 Hughes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harmony Health And Compassionate Care LLC
0.1 mi
Psychiatric/Mental Health
101 W CHERRY ST UNIT D
Sunbury, OH 43074
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
NPI 1518783463 (740) 819-7630
Mount Carmel Health System
18 mi
Urgent Care
6435 E BROAD ST.
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 258 clinicians in this Medicare group
NPI 1336255918 (614) 355-8150

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.

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.
66 services56 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.
46 services34 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43074 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

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 Hughes's NPI number?

The NPI number for Karen Hughes is 1942793039. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Karen Hughes located?

Karen Hughes practices at 44 S. Kitner Parkway, Sunbury, OH 43074. The listed phone number is (220) 248-5107.

What is Karen Hughes's specialty?

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

Is Karen Hughes enrolled in Medicare?

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

Which organizations bill Medicare for Karen Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Hughes reassigns Medicare benefits to 2 organizations: Harmony Health And Compassionate Care LLC (Sunbury, OH) and Mount Carmel Health System (Columbus, OH). 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 Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Hughes accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Karen Hughes 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 Hughes was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.