Karen A Carbaugh, CRNP - Medicare Nurse Practitioner in Wilkes Barre, PA

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Karen A Carbaugh, CRNP is a medicare enrolled "Advanced Practice Midwife" in Wilkes Barre, Pennsylvania. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Geisinger Clinic and her current practice location is 1155 E Mountain Blvd, Wilkes Barre, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 808-7916.

Karen A Carbaugh is licensed to practice in Pennsylvania (license number MW010557) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013342245.

Contact Information

Karen A Carbaugh, CRNP
1155 E Mountain Blvd,
Wilkes Barre, PA 18702-7906
(570) 808-7916
(570) 808-6006

Map and Direction




Provider's Profile

Full NameKaren A Carbaugh
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location1155 E Mountain Blvd, Wilkes Barre, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karen A Carbaugh graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1013342245
  • Provider Enumeration Date: 09/06/2013
  • Last Update Date: 08/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7012145881
  • Enrollment ID: I20140124001522

Medical Identifiers

Medical identifiers for Karen A Carbaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013342245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP013055 (Pennsylvania)Secondary
367A00000XAdvanced Practice Midwife MW010557 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geisinger Clinic53956570012841

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Karen A Carbaugh allows following entities to bill medicare on her behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518
Entity NameFiorelli Urology Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851577324
PECOS PAC ID: 9133201700
Enrollment ID: O20080205000194

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Karen A Carbaugh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Karen A Carbaugh, CRNP
100 N Academy Ave,
Danville, PA 17822-4903

Ph: (570) 271-6144		Karen A Carbaugh, CRNP
1155 E Mountain Blvd,
Wilkes Barre, PA 18702-7906

Ph: (570) 808-7916

Reviews and Comments


Advanced Practice Midwife Nurses in Wilkes Barre, PA

Jeanne Vesnefskie, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702
Phone: 507-808-7916    
Jennifer M Shoback, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702
Phone: 570-808-7916    Fax: 570-808-6006
Ms. Sharon R Foley, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-7916    
Heather Marie Mecone, ARNP, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702
Phone: 570-808-7916    
Jessica Miller, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702
Phone: 570-808-7916    Fax: 570-808-6006

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.