Karen Tosh, NP
NPI 1609386226 · Primary Care Nurse Practitioner · Centralia, WA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Tosh, NP is a Primary Care Nurse Practitioner provider in Centralia, WA (NPI 1609386226).
Provider details
- NPI number
- 1609386226
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 243380 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
467 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 305 | $106 |
| Residence Visit for Established Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99350 | 41 | $155 |
| Residence Visit for New Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99344 | 38 | $119 |
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 27 | $64 |
| Advance Care Planning, First 30 Minutes99497 | 22 | $69 |
| Physician Or Allowed Practitioner Certification for Medicare-Covered Home Health Services Under a Home Health Plan of Care (patient Not Present), Including Contacts With Home Health Agency and Review of Reports of Patient Status Required By Physicians and |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 130 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Quetiapine Fumarate | 563 | 92 |
| Atorvastatin Calcium | 377 | 68 |
| Levothyroxine Sodium | 326 | 54 |
| Trazodone Hcl | 309 | 67 |
| Citalopram Hydrobromidebrand: Citalopram Hbr | 293 | 59 |
| Amlodipine Besylate | 264 | 56 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$55 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2024-05-22
- Certified
- 2024-05-22
Frequently asked questions
- What is Karen Tosh's NPI number?
- Karen Tosh's National Provider Identifier (NPI) is 1609386226, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Tosh's specialty?
- Karen Tosh is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Karen Tosh located?
- Karen Tosh's practice location on file with NPPES is 1815 Cooks Hill Rd Ste B, Centralia, WA 98531-9170.
- What is Karen Tosh's phone number?
- The practice phone number listed in the NPPES registry for Karen Tosh is (360) 807-5029.
- Does Karen Tosh accept Medicare?
- Karen Tosh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Tosh's NPI active?
- Yes — Karen Tosh's NPI (1609386226) is active in the NPPES registry as of the last update on 2024-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.