Individual provider Active NPI

Karen C. James, ANP

  • Adult Health Nurse Practitioner
  • Middlebury, IN
National Provider Identifier
1811990609
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71001860A Issued in IN
Practice address
206 W Warren St
Middlebury, IN 46540-9410
Phone
(574) 358-0042
Fax
(574) 358-0157
NPI assigned
May 24, 2005
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71001860A IN Primary

Addresses

Primary practice location

206 W Warren St
Middlebury, IN 46540-9410

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-2129

Other practice location 1

3900 E Bristol St
Elkhart, IN 46514-4466
Phone (800) 635-5516

Other practice location 2

2312 Eisenhower Dr N
Goshen, IN 46526-8837
Phone (574) 534-1231

Other identifiers 1

IdentifierTypeStateIssuer
200505360MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050211000675 IN Practitioner - Nurse Practitioner 4981656550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

206 W Warren St
Medpoint Urgent Care
Middlebury, IN 46540-9410
Phone (574) 358-0042

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Current Accepting new patients
Beacon Medical Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Elkhart General Hospital, Inc. Past Accepting new patients
Beacon Occupational Health, LLC Past Accepting new patients
Elkhart General Hospital Inc PastSince Apr 1, 2010 Accepting new patients

Locations

3301 County Road 6 E
Elkhart, IN 46514
Phone (574) 264-9635

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

6913 N Main St
Ste 100
Granger, IN 46530
Phone (574) 647-6400

6913 N Main St
Ste 300
Granger, IN 46530
Phone (574) 647-1500

206 W Warren St
Middlebury, IN 46540
Phone (219) 825-2146

4630 Vistula Rd
Mishawaka, IN 46544
Phone (219) 254-7200

1815 E Ireland Rd
South Bend, IN 46614
Phone (574) 647-1700

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

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, 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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1811990609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W WARREN ST",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "465409410",
            "telephone_number": "574-358-0042",
            "fax_number": "574-358-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 E Bristol St",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465144466",
            "country_code": "US",
            "telephone_number": "800-635-5516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2312 Eisenhower Dr N",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465268837",
            "country_code": "US",
            "telephone_number": "574-534-1231",
            "fax_number": "574-534-8186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KAREN",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001860A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200505360",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, IN

Sources for this page

Verify at the official NPI Registry.