Karen Sumner, AGACNP-BC
NPI 1821615758 · Gerontology Nurse Practitioner · Fishersville, VA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Sumner, AGACNP-BC is a Gerontology Nurse Practitioner provider in Fishersville, VA (NPI 1821615758).
Provider details
- NPI number
- 1821615758
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0024179573 (VA)
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 tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
469 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 220 | $54 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 135 | $14 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 114 | $79 |
Typical Medicare-allowed amounts for these services range $14–$79 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Furosemide | 79 | 31 |
| Amlodipine Besylate | 68 | 29 |
| Lisinopril | 48 | 17 |
| Calcitriol | 48 | 18 |
| Doxazosin Mesylate | 36 | — |
| Hydrochlorothiazide | 35 | 11 |
| Losartan Potassium | 35 | 14 |
| Potassium Chloride |
Practice location
Mailing address
Additional practice locations (1)
- 1215 Lee StCharlottesville, VA 22908-2367Phone: (434) 924-0211
Registry dates
- Enumerated
- 2020-06-26
- Last updated
- 2023-08-11
- Certified
- 2023-08-11
Frequently asked questions
- What is Karen Sumner's NPI number?
- Karen Sumner's National Provider Identifier (NPI) is 1821615758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Sumner's specialty?
- Karen Sumner is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Karen Sumner located?
- Karen Sumner's practice location on file with NPPES is 9 Pinnacle Dr Ste A03, Fishersville, VA 22939-2367.
- What is Karen Sumner's phone number?
- The practice phone number listed in the NPPES registry for Karen Sumner is (444) 728-7118.
- Does Karen Sumner accept Medicare?
- Karen Sumner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Sumner's NPI active?
- Yes — Karen Sumner's NPI (1821615758) is active in the NPPES registry as of the last update on 2023-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.