KATHLEEN GARZELLONI KARNES PNP
NPI 1790864981
Nurse Practitioner - Pediatrics in Kalamazoo, MI
NPI Status: Active since November 06, 2006
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About KATHLEEN KARNES
This page provides the complete NPI Profile along with additional information for Kathleen Karnes, a provider established in Kalamazoo, Michigan with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1790864981 assigned on November 2006. The practitioner's primary taxonomy code is 363LP0200X with license number 4704163750 (MI). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1790864981
- Provider Name
- KATHLEEN GARZELLONI KARNES PNP
- Other Name
- KATHLEEN MARIE GARZELLONI PNP
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6210 W MAIN ST KALAMAZOO, MI 49009
- Location Phone
- (269) 286-7030
- Mailing Address
- 6210 W MAIN ST KALAMAZOO, MI 49009
- Mailing Phone
- (269) 286-7030
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-06-2006
- Last Update Date
- 08-19-2022
- Code Navigator
A nurse practitioner (NP) like Kathleen Karnes 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
Secondary Locations
- 714 N 9th St
Kalamazoo, MI 49009
(269) 372-3700
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 Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 4704163750
- License State
- MI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Bronson Healthcare Partners - HMO
- MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Bronson Healthcare Partners - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Bronson Healthcare Partners - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Bronson Healthcare Partners - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze Bronson Healthcare Partners - HMO
- MyPriority Value Bronze HSA - HMO
- MyPriority Value Bronze HSA Bronson Healthcare Partners - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kathleen Karnes 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
Physician 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 49009 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.74
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* 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.
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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 | 9 | 0 | 8 | 6 | 4 | 9 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 16 | 6 | 8 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 6 + 6 + 8 + 9 + 1 + 6 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1790864981 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114213154 | JESSICA DEANNE SEGEDY WHITE DO Individual | Pediatrics | 6210 W MAIN ST KALAMAZOO, MI 49009 (269) 286-7030 |
| 1003861311 | NANCY J HILLEREN M.D. Individual | Pediatrics | 6210 W MAIN ST KALAMAZOO, MI 49009 (269) 286-7030 |
| 1992411581 | TIFFANY SUSAN KOWALSKI RN Individual | Registered Nurse | 6210 W MAIN ST KALAMAZOO, MI 49009 (269) 286-7030 |
| 1528500998 | MRS. ASHLEY CONKLIN N.P. Individual | Nurse Practitioner (Family) | 6210 W MAIN ST KALAMAZOO, MI 49009 (269) 286-7030 |
| 1790876894 | MR. AARON MICHAEL BACALIA PA-C Individual | Physician Assistant | 6210 W MAIN ST KALAMAZOO, MI 49009 (269) 286-7030 |
| 1831335124 | MEGAN D FOLEY NP Individual | Nurse Practitioner (Pediatrics) | 6210 W MAIN ST KALAMAZOO, MI 49009 (269) 286-7030 |
| 1184484909 | PAIGE ZAJDA NURSE Individual | Registered Nurse (Ambulatory Care) | 6210 W MAIN ST KALAMAZOO, MI 49009 (269) 286-7030 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790864981, enumerated in the NPI registry as an "individual" on November 06, 2006
The provider is located at 6210 W Main St Kalamazoo, Mi 49009 and the phone number is (269) 286-7030
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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 $84.74 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on November 06, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.