Individual provider Active NPI

Karen Petrusic McNeal, APRN, CNM

  • Advanced Practice Midwife
  • Kingwood, TX
National Provider Identifier
1831669944
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP138852 Issued in TX
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

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP138852TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
KPH-Consolidation, Inc. Past Accepting new patients
Advanced Women'S Healthcare PastSince Jan 15, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.