Karen Hughes, FNP-C
NPI 1942793039 · Nurse Practitioner · Sunbury, OH
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Hughes, FNP-C is a Nurse Practitioner provider in Sunbury, OH (NPI 1942793039).
Provider details
- NPI number
- 1942793039
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- APRN.CNP.022817 (OH)
Specialties & taxonomies
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
123 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 66 | $73 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 46 | $102 |
| Automated Urinalysis Test81003 | 11 | $2 |
Typical Medicare-allowed amounts for these services range $2–$102 (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 · 27 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 34 | 14 |
| Cephalexin | 31 | 29 |
| Lisinopril | 29 | 16 |
| Trazodone Hcl | 28 | 11 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 27 | 26 |
| Amlodipine Besylate | 26 | 14 |
| Prednisone | 26 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$283 across 15 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
- 2018-06-13
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Frequently asked questions
- What is Karen Hughes's NPI number?
- Karen Hughes's National Provider Identifier (NPI) is 1942793039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Hughes's specialty?
- Karen Hughes is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Karen Hughes located?
- Karen Hughes's practice location on file with NPPES is 44 S. Kitner Parkway, Sunbury, OH 43074.
- What is Karen Hughes's phone number?
- The practice phone number listed in the NPPES registry for Karen Hughes is (220) 248-5107.
- Does Karen Hughes accept Medicare?
- Karen Hughes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Hughes's NPI active?
- Yes — Karen Hughes's NPI (1942793039) is active in the NPPES registry as of the last update on 2026-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.