Active NPI
Karen Petrusic McNeal, APRN, CNM
- Advanced Practice Midwife
- Kingwood, TX
National Provider Identifier
1831669944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP138852
- Practice address
- 350 Kingwood Medical Dr Ste 350
Kingwood, TX 77339-6405 - Phone
- (281) 359-7000
- NPI assigned
- Dec 1, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AP138852 | TX | Primary |
Addresses
Primary practice location
350 Kingwood Medical Dr Ste 350
Kingwood, TX 77339-6405
Mailing address
350 Kingwood Medical Dr Ste 350
Kingwood, TX 77339-6405
Phone (281) 359-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP138852 | TX | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH-Consolidation, Inc. | Past | Accepting new patients | |
| Advanced Women'S Healthcare | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21544/brand/1/csg/1/fhir/r4
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.
-
- Obstetrics & Gynecology Physician
- Kingwood, TX
- NPI 1508197690
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1831669944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 KINGWOOD MEDICAL DR STE 350",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773396405",
"telephone_number": "281-359-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 KINGWOOD MEDICAL DR STE 350",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773396405",
"telephone_number": "281-359-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEAL",
"first_name": "KAREN",
"middle_name": "PETRUSIC",
"credential": "APRN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-01",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "AP138852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.