Active NPI
Karen Marie Nieradka, P.A.-C
- Physician Assistant
- Inverness, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2762
- Practice address
- 131 S Citrus Ave
Inverness, FL 34452-4701 - Phone
- (813) 997-4219
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110009065 | VA | |
| Physician Assistant | 363A00000X | PA2762 | FL | Primary |
Addresses
Primary practice location
131 S Citrus Ave
Inverness, FL 34452-4701
Mailing address
6006 49TH St N Ste 310
St Petersburg, FL 33709-2149
Phone (727) 527-9779
Other practice location 1
502 W Highland Blvd
Inverness, FL 34452-4720
Phone (813) 997-4219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC, MI, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- George Washington University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018
4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110009065 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Caromont Medical Group, Inc. | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Cardiology Consultants | Past | Accepting new patients | |
| Beacon Medical Group, Inc. | Past | Accepting new patients |
Locations
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
Interoperability endpoints
- karen.nieradka@hca6.eclinicaldirectplus.com
- knieradkapa345225@carlehiedirect.net
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
-
- Cardiovascular Disease Physician
- Saint Petersburg, FL
- NPI 1801198023
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Critical Care Medicine (Internal Medicine) Physician
- Gastonia, NC
- NPI 1932380953
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
-
- Specialist
- St Petersburg, FL
- NPI 1811940802
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1619791431
-
- Rural Acute Care Hospital
- Alpena, MI
- NPI 1619914652
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1366505786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6006 49TH ST N STE 310",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092149",
"telephone_number": "727-527-9779",
"fax_number": "727-522-0415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 S CITRUS AVE",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524701",
"telephone_number": "813-997-4219"
}
],
"practiceLocations": [
{
"address_1": "502 W Highland Blvd",
"address_purpose": "LOCATION",
"city": "Inverness",
"state": "FL",
"postal_code": "344524720",
"country_code": "US",
"telephone_number": "813-997-4219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIERADKA",
"first_name": "KAREN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "P.A.-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110009065",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA2762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inverness, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.