Individual provider Active NPI

Karen Ann Claise, NP

  • Acute Care Nurse Practitioner
  • Old Lyme, CT
National Provider Identifier
1750446852
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71002457A Issued in IN
Practice address
55 Hatchetts Hill Rd
Old Lyme, CT 06371-1534
Phone
(800) 370-3651
Fax
(410) 832-5783
NPI assigned
Dec 27, 2006
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 9300187 NC
Acute Care Nurse Practitioner 363LA2100X 26NJ00501300 NJ
Acute Care Nurse Practitioner 363LA2100X 71002457A IN Primary

Addresses

Primary practice location

55 Hatchetts Hill Rd
Old Lyme, CT 06371-1534

Mailing address

55 Hatchetts Hill Rd
Old Lyme, CT 06371-1534
Phone (800) 370-3651

Other identifiers 1

IdentifierTypeStateIssuer
200871540MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160907003003 NJ Practitioner - Nurse Practitioner 6507962735 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144636NCMDHospitalist Physician
9300187NCMDNurse Practitioner
71002457AINMDAcute Care Nurse Practitioner
26NJ00501300NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group NJ, PC CurrentSince Apr 22, 2025 Accepting new patients
GPS Physician Group of New Jersey, PC CurrentSince Apr 22, 2025 Accepting new patients
Geps Physician Group of New Jersey PC Acute Care CurrentSince Apr 22, 2025 Accepting new patients
Cardiovascular Care of Northern Carolina PA Past Accepting new patients

Locations

115 Sunset Rd
Burlington Township, NJ 08016
Phone (609) 387-3620

12-15 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 797-9522

201 New Rd
Linwood, NJ 08221
Phone (609) 927-6131

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

249 High St
Newton, NJ 07860
Phone (973) 383-5600

843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627

1165 Easton Ave
Somerset, NJ 08873
Phone (732) 246-4100

1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1750446852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HATCHETTS HILL RD",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711534",
            "telephone_number": "800-370-3651",
            "fax_number": "410-832-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HATCHETTS HILL RD",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711534",
            "telephone_number": "800-370-3651",
            "fax_number": "410-832-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAISE",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "9300187",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00501300",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71002457A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200871540",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Lyme, CT

Sources for this page

Verify at the official NPI Registry.