Active NPI
Stacy Elaine Karem, FNP
- Nurse Practitioner
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3016724
- Practice address
- 101 Hospital Blvd
Jeffersonville, IN 47130-3769 - Phone
- (812) 282-3899
- Fax
- (812) 282-4172
- NPI assigned
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3016724 | KY | |
| Nurse Practitioner | 363L00000X | 3016724 | KY | Primary |
Addresses
Primary practice location
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3108
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122620036 | Other | IN | IN MEDICARE |
| 7100837860 | Medicaid | KY | |
| 300073053 | Medicaid | IN | |
| K206441 | Other | KY | KY MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899
2400 Eastpoint Pkwy
Suite 560
Louisville, KY 40223-4154
Phone (502) 897-7172
3 Audubon Plaza Dr
L10
Louisville, KY 40217-1362
Phone (502) 584-0651
300 High Point CT
Mount Washington, KY 40047-6560
Phone (502) 955-6129
3920 S Dupont SQ C
Louisville, KY 40207-4615
Phone (812) 282-3899
5120 Dixie Hwy
Suite 105
Louisville, KY 40216-1775
Phone (812) 282-3899
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3016724 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Urology, PSC | Nurse Practitioner | Current | Accepting new patients |
| First Urology, PSC | Nurse Practitioner | Past | Accepting new patients |
Locations
3431 Solutions Ctr
Chicago, IL 60677
313 Federal Dr NW
Ste 140
Corydon, IN 47112
101 Hospital Blvd
Jeffersonvlle, IN 47130
Phone (812) 206-8196
1919 State St
Ste 205
New Albany, IN 47150
Phone (812) 941-0443
1473 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0844
1023 New Moody Ln
Ste 202A
Lagrange, KY 40031
Phone (502) 222-3324
3 Audubon Plaza Dr
Ste L10
Louisville, KY 40217
Phone (502) 636-2800
5120 Dixie Hwy
Ste 105
Louisville, KY 40216
Phone (502) 448-5509
2400 Eastpoint Pkwy
Ste 560
Louisville, KY 40223
Phone (502) 210-6610
170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988
3920 S DuPont Sq
Ste C
Louisville, KY 40207
Phone (502) 721-0116
300 High Point Ct
Mt Washington, KY 40047
Phone (502) 447-4595
515 Hospital Dr
Ste 3
Shelbyville, KY 40065
Phone (502) 633-2661
115 Huston Dr
Shepherdsville, KY 40165
Phone (502) 365-2655
Interoperability endpoints
- stacy.karem@krogerhealth.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1083346860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 ELM HILL PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HOSPITAL BLVD",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303769",
"telephone_number": "812-282-3899",
"fax_number": "812-282-4172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAREM",
"first_name": "STACY",
"middle_name": "ELAINE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3016724",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3016724",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN MEDICARE",
"identifier": "122620036",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100837860",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300073053",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICARE",
"identifier": "K206441",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.