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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAREN HALLEY NP
NPI 1972310712
Nurse Practitioner - Family in Marietta, OH

Active since December 16, 2024PECOS Enrolled
400 MATTHEW ST STE 302, MARIETTA, OH 45750(740) 568-5207(740) 568-5297 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 20, 2025, Jan 3, 2025, Dec 16, 2024 (3 updates tracked since 2024).

About Karen Halley Np NPPES

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

KAREN HALLEY NP (NPI 1972310712) is an individual family provider in Marietta, Ohio, licensed in Ohio (APRN.CNP.0038021) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains a secondary practice location in Belpre.

NPPES Registry Identity

NPI1972310712
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN HALLEYCredential: NP
Location Address400 MATTHEW ST STE 302Marietta, OH 45750-1656
Mailing Address402 39th StVienna, WV 26105-1732
Phone(740) 568-5207
Fax(740) 568-5297
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 16, 2024
Last NPPES UpdateOctober 21, 20263 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1972310712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0038021
400 MATTHEW ST STE 302, Marietta, OH 45750
Open in Google Maps ↗

Secondary Practice Location 1

Location 1803 Farson St Ste 400Belpre, OH 45714-1073 · Phone (740) 568-5207 · Fax (740) 423-3622

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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 Halley Np 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 ID6800316761
PECOS Enrollment IDI20250221001241
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 Halley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marietta Memorial Hospital
Same address
General Acute Care Hospital
401 MATTHEW ST
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio enrollment
  • 411 clinicians in this Medicare group
NPI 1215936927 (740) 374-1413
Selby General Hospital
1.3 mi
Critical Access
1106 COLEGATE DR
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio enrollment
  • 247 clinicians in this Medicare group
NPI 1124073465 (740) 568-2040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361319
Location1106 Colegate DriveMarietta, OH 45750 · Washington County
Emergency services

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Sistersville General Hospital

Critical Access Hospitals · Sistersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511304
Location314 South Wells StreetSistersville, WV 26175 · Tyler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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.

Other Providers at the Same Location NPPES 20

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

MS. JESSICA EILEEN STOLZ RN,MSN,C-FNP
Nurse Practitioner (Family)
400 MATTHEW ST STE 302
MARIETTA, OH 45750
Washington County (740) 568-5207
MATTHEW PERRY
Nurse Practitioner (Family)
400 MATTHEW ST STE 302
MARIETTA, OH 45750
Washington County (740) 568-5207
JOHN GODDARD M.D.
Internal Medicine (Interventional Cardiology)
400 MATTHEW ST STE 302
MARIETTA, OH 45750
Washington County (740) 568-5207
LINDSEY C M WELSH PA-C
Physician Assistant
400 MATTHEW ST STE 302
MARIETTA, OH 45750
Washington County (505) 272-2111
JAGDESH KANDALA MD
Internal Medicine (Interventional Cardiology)
400 MATTHEW ST STE 302
MARIETTA, OH 45750
Washington County (740) 568-5207
DR. JOSHUA RANDALL CLEVENGER M.D.
Internal Medicine (Cardiovascular Disease)
400 MATTHEW ST STE 302
MARIETTA, OH 45750
Washington County (740) 568-5207
MR. MATTHEW BLAIR PA-S
Physician Assistant
400 MATTHEW ST STE 302
MARIETTA, OH 45750
Washington County (740) 568-5207
JONAS DEAN CLARK MSN RN, AGAC-NP
Nurse Practitioner (Gerontology)
400 MATTHEW ST STE 302
MARIETTA, OH 45750
Washington County (740) 568-5207

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 Halley's NPI number?

The NPI number for Karen Halley is 1972310712. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Karen Halley located?

Karen Halley practices at 400 Matthew St Ste 302, Marietta, OH 45750. The listed phone number is (740) 568-5207.

What is Karen Halley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Halley enrolled in Medicare?

Yes. Karen Halley 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 Halley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Halley reassigns Medicare benefits to 2 organizations: Marietta Memorial Hospital (Marietta, OH) and Selby General Hospital (Marietta, 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 Halley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Halley accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Karen Halley 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 Halley affiliated with any hospitals?

According to CMS data, Karen Halley is affiliated with Marietta Memorial Hospital, Selby General Hospital, Camden Clark Medical Center and Sistersville General Hospital.

When was this NPI record last updated?

The NPPES record for Karen Halley was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.