Individual provider Active NPI

Karen Elizabeth Janke

  • Acute Care Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1699310409
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024179361 Issued in VA
Practice address
14085 Crown CT
Woodbridge, VA 22193-1458
Phone
(703) 763-5224
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 5012536 NC
Acute Care Nurse Practitioner 363LA2100X 0024179361 VA Primary

Addresses

Primary practice location

14085 Crown CT
Woodbridge, VA 22193-1458

Mailing address

4149 Chatham Hill Dr
Winston Salem, NC 27104-1439
Phone (336) 403-1232

Other practice location 1

1440 Central Park Blvd Ste 108
Fredericksburg, VA 22401-4931
Phone (703) 763-5224

Other names 1

  • Karen E Janke Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303000776 NC Practitioner - Nurse Practitioner 5294162301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice and Palliative CarecenterGroup PAC ID 4688604408, 6 clinicians

Practice addresses (Care Compare)

101 Hospice LN
Winston Salem, NC 27103-5766
Phone (336) 768-3972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5012536NCMDAcute Care Nurse Practitioner
0024179361VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice & Palliative Carecenter CurrentSince Nov 8, 2021 Accepting new patients
Hospice & Palliative Carecenter CurrentSince Nov 8, 2021 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Feb 17, 2020 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Feb 17, 2020 Accepting new patients

Locations

2704 Henry St
Greensboro, NC 27405
Phone (336) 621-3777

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

101 Hospice Ln
Winston Salem, NC 27103
Phone (336) 768-3972

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1699310409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 CHATHAM HILL DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271041439",
            "telephone_number": "336-403-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14085 CROWN CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931458",
            "telephone_number": "703-763-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Central Park Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014931",
            "country_code": "US",
            "telephone_number": "703-763-5224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANKE",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5012536",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024179361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "JANKE",
            "middle_name": "E",
            "credential": "AG-ACNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.