KAREN PRAKOFYWA NP-C
NPI 1710343439
Nurse Practitioner - Primary Care in Hackettstown, NJ
NPI Status: Active since January 11, 2016
Contact Information
651 WILLOW GROVE ST
HACKETTSTOWN, NJ
ZIP 07840
Phone: (908) 441-1161
- Individual
- Female
- Nurse Practitioner
- Primary Care
- PECOS Enrolled
- Medicare Quality Reporting
About KAREN PRAKOFYWA
This page provides the complete NPI Profile along with additional information for Karen Prakofywa, a provider established in Hackettstown, New Jersey with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1710343439 assigned on January 2016. The practitioner's primary taxonomy code is 363LP2300X with license number 26NJ00590800 (NJ). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1710343439
- Provider Name
- KAREN PRAKOFYWA NP-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840
- Location Phone
- (908) 441-1161
- Mailing Address
- PO BOX 416457 BOSTON, MA 02241
- Mailing Phone
- (844) 362-1735
- Mailing Fax
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-11-2016
- Last Update Date
- 03-15-2019
- Code Navigator
A nurse practitioner (NP) like Karen Prakofywa is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Primary Care
- Taxonomy Code
- 363LP2300X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 26NJ00590800
- License State
- NJ
Medicare Participation & PECOS Enrollment Status
Karen Prakofywa is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Initial hospital inpatient care per day, typically 70 minutes
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 29 times for 29 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 157 times for 144 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 07840 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $98.09
- Minimum New Patient Price $63.84
- Maximum New Patient Price $190.92
- Average New Patient Copayment $24.52
- Minimum New Patient Copayment $15.96
- Maximum New Patient Copayment $47.73
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.57
- Minimum Established Patient Price $20.97
- Maximum Established Patient Price $155.92
- Average Established Patient Copayment $27.89
- Minimum Established Patient Copayment $5.24
- Maximum Established Patient Copayment $38.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Advance Care Planning | Yes | N/A |
| Implementation of practices/processes to develop advance care planning that includes: documenting the advance care plan or living will within the medical record, educating clinicians about advance care planning motivating them to address advance care planning needs of their patients, and how these needs can translate into quality improvement, educating clinicians on approaches and barriers to talking to patients about end-of-life and palliative care needs and ways to manage its documentation, as well as informing clinicians of the healthcare policy side of advance care planning. | ||
| Care Plan | 98% | 176 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 3 | 4 | 3 | 4 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 6 | 4 | 6 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 6 + 4 + 6 + 4 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1710343439 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639163306 | NANCY NEIDLINGER LOW MD Individual | Radiology (Radiation Oncology) | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 441-1500 |
| 1497740625 | RADIATION MEDICINE OF HACKETTSTOWN Organization | Radiology (Radiation Oncology) | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 441-1500 |
| 1861477309 | ROSANNE FRANCE GIANNUZZI MD Individual | Anesthesiology | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 852-5100 |
| 1760467203 | VALSALA NARAYANAN MD Individual | Anesthesiology | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 852-5100 |
| 1295710739 | DRAGOMIR MILAN VUJIC MD Individual | Anesthesiology | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 852-5100 |
| 1104890953 | ROBERT FORREST MD Individual | Anesthesiology | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 852-5100 |
| 1285699561 | DR. XIOMARA E. SPENCE PHARM. D Individual | Pharmacist | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 850-6916 |
| 1710926043 | MS. BRENDA C. KULL RD Individual | Dietitian, Registered | 651 WILLOW GROVE ST NUTRITION CARE SERVICES HACKETTSTOWN, NJ 07840 (908) 852-5100 |
| 1487679551 | PAUL T DIERLAM MD Individual | Anesthesiology | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 852-5100 |
| 1366465924 | WILLIAM CARLE MD Individual | Emergency Medicine | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (856) 616-8100 |
| 1609980853 | DR. FELIPE A QUERIMIT JR. MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 651 WILLOW GROVE ST PATHOLOGY DEPARTMENT HACKETTSTOWN, NJ 07840 (908) 850-6948 |
| 1205940475 | PATHOLOGY ASSOCIATES OF NORTHWEST JERSEY, LLC Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 651 WILLOW GROVE ST PATHOLOGY DEPARTMENT HACKETTSTOWN, NJ 07840 (908) 850-6948 |
| 1780760694 | DR. PAK-KAN ALBERT LO M.D. Individual | Radiology (Diagnostic Radiology) | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 850-6842 |
| 1982762142 | HACKETTSTOWN RADIOLOGY ASSOCIATES Organization | Clinic/Center (Radiology) | 651 WILLOW GROVE ST HACKETTSTOWN REGIONAL MEDICAL CENTER HACKETTSTOWN, NJ 07840 (908) 852-5100 |
| 1659436210 | MRS. JENNIFER JACOBSEN TROTTE RNFA Individual | Registered Nurse (Registered Nurse First Assistant) | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 850-6727 |
| 1639235211 | MS. CHARLOTTE KAREN YOUNG RN, APN,BC Individual | Registered Nurse (Enterostomal Therapy) | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 441-1127 |
| 1013074723 | MS. CORINNE E REAMER RNFA Individual | Registered Nurse (Registered Nurse First Assistant) | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 850-0608 |
| 1871708560 | LINDA FESTANTE RD Individual | Dietitian, Registered | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 852-5100 |
| 1497961312 | GRACE CAICO RD Individual | Dietitian, Registered | 651 WILLOW GROVE ST HACKETTSTOWN, NJ 07840 (908) 852-5100 |
| 1285822577 | MS. CHRISTINE M. BOVE Individual | Speech-Language Pathologist | 651 WILLOW GROVE ST TC KIDS-SPEECH THERAPY HACKETTSTOWN, NJ 07840 (908) 850-6835 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710343439, enumerated in the NPI registry as an "individual" on January 11, 2016
The provider is located at 651 Willow Grove St Hackettstown, Nj 07840 and the phone number is (908) 441-1161
The provider's speciality is Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $98.09 with an average copayment of $24.52 for new patient appointments. Established patients should expect a typical charge of $111.57 and an average copayment of 27.89. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes and Initial hospital inpatient care per day, typically 70 minutes.
This NPI record was last updated on January 11, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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