Karen D Carroll, FNP
Individual provider Active NPI Primary Care Nurse Practitioner · Jbsa Lackland, TX
NPI 1063907772 · NPPES record last updated Mar 12, 2026
Key facts
- NPI
- 1063907772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- AP138568 (TX)
- Practice address
- 1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638 - Phone
- (210) 292-7411
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- TMC Provider Group PLLC
Practice addresses (Care Compare)
11811 Blanco Rd
San Antonio, TX 78216-2407
Phone (210) 341-5588
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180914001712 | TX | Practitioner - Nurse Practitioner | 7618228511 | Reassigns benefits to 1 organization |
| I20190712001915 | HI | Practitioner - Nurse Practitioner | 7618228511 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP138568 | TX | MD | Primary Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kau Hospital | Current |
Accepting new patients | |
| Kau Hospital | Current |
Accepting new patients | |
| Hilo Benioff Medical Center | Current |
Accepting new patients | |
| TMC Provider Group PLLC | Current |
Accepting new patients | |
| TMC Provider Group, PLLC | Current |
Accepting new patients | |
| Hilo Benioff Medical Center | Current |
Accepting new patients | |
| Hilo Benioff Medical Center | Past | Accepting new patients | |
| GLC Wellness Center Texas LLC | Past |
Accepting new patients |
Locations
1285 Waianuenue Ave
#2
Hilo, HI 96720
1190 Waianuenue Ave
Fl 1
Hilo, HI 96720
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
75 Puuhonu Pl
Ste 100
Hilo, HI 96720
Phone (808) 932-3940
9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577
11811 Blanco Rd
San Antonio, TX 78216
Phone (210) 341-5588
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP138568 | TX | Yes |
| Primary Care Clinic/Center | 261QP2300X | AP138568 | TX |
Addresses
Primary practice location
1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638
Mailing address
1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638
Other providers in Jbsa Lackland, TX
- Ami Nichole Cantway
- Kelly Caponigro
- Nolan Richard Carlile
- Timothy Arnold Carlson
- Jessica A Carpenter
- Oscar Alfonso Castro
- Eric L Cathey
- Danielle Joy Cermak
- Laura Chachula
- Howard C Chang
All providers in Jbsa Lackland, TX · Primary Care Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.