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KAREN MICHELLE BARTON-NIELSEN MD
NPI 1972651313
Family Medicine in Whitehouse, TX

Active since January 08, 2007PECOS Enrolled
601 HWY 110 N BAY 0, WHITEHOUSE, TX 75791(903) 839-2585(903) 839-3165 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Karen Michelle Barton-nielsen Md NPPES

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

KAREN MICHELLE BARTON-NIELSEN MD (NPI 1972651313) is an individual family medicine provider in Whitehouse, Texas, licensed in Texas (H6034) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972651313
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN MICHELLE BARTON-NIELSENCredential: MD
Location Address601 HWY 110 N BAY 0Whitehouse, TX 75791-3037
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6450
Phone(903) 839-2585
Fax(903) 839-3165
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateDecember 8, 2014
✔ NPI 1972651313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H6034
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
601 HWY 110 N BAY 0, Whitehouse, TX 75791
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Other Identifiers 11

OtherTIN PLUS 001TX · Tricare Canton Location
Medicare OSCAR/certification8L3760TX
Medicare PINP00726303TX
OtherTIN PLUS 042TX · Tricare Wound Care Location
Medicare PIN8694M6TX
Other8B9735TX · Bcbs
Medicaid047364704TX
Medicaid047364702TX
Other8BC403TX · Bcbs Of Texas
OtherTIN PLUS 023TX · Tricare Whithouse Location
OtherTIN PLUS 028TX · Tricare Lindale Location

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Michelle Barton-nielsen Md 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 Reassignment

Medicare enrollment records show Karen Barton-nielsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christus Trinity Clinic Texas
8.4 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119

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 75791 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Barton-nielsen's NPI number?

The NPI number for Karen Barton-nielsen is 1972651313. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Karen Barton-nielsen located?

Karen Barton-nielsen practices at 601 Hwy 110 N Bay 0, Whitehouse, TX 75791. The listed phone number is (903) 839-2585.

What is Karen Barton-nielsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karen Barton-nielsen enrolled in Medicare?

Yes. Karen Barton-nielsen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Barton-nielsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Barton-nielsen reassigns Medicare benefits to Christus Trinity Clinic Texas (Tyler, TX). The 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 Barton-nielsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Barton-nielsen was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.