Provider profile

Karen HoerstMD

Psychiatry & Neurology, Neurology

4 locationsNPI 1437392115
301 S 7th Ave, Suite 210, West Reading, PA 19611484-628-4656

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Medicare Advantage plans for Berks County, PA, Winnebago County, WI and York County, PA.

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 13 plans so far

Some of Humana, Capital Blue Cross, Aetna Medicare, Anthem Blue Cross and Blue Shield, Devoted, Geisinger Gold, HealthPartners, HealthSpring, Highmark Wholecare Medicare Assured, Jefferson Health Plans, Molina Healthcare of Wisconsin, Network Health Medicare Advantage Plans, Perennial Advantage, UnitedHealthcare, UPMC for Life, UPMC for Life Complete Care, VISTA Health Plan Inc. and Wellcare's 2027 plans in Berks County, PA, Winnebago County, WI and York County, PA haven't been checked yet.

The 171 Medicare Advantage plans we show for Berks County, PA, Winnebago County, WI and York County, PA in 2027

  • 13 list Karen
  • 81 not listed
  • 77 not checked yet

Humana

11 plans list Karen; not listed on 4 other plans.

11plans
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1425 N Randall Rd, Elgin, IL, 60123

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5525-085-002Medicare.gov
    $0a month
  • Humana Gold Choice H8145-052 (PFFS)

    Source: Humana provider directory.

    The source lists the clinician on this plan, but hasn't identified a covered office. Confirm your office before enrolling.

    PFFSDrug coverage4 starsH8145-052-000Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1425 N Randall Rd, Elgin, IL, 60123

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-221-000Medicare.gov
    $0a month
  • Humana USAA Honor Giveback with Rx (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1425 N Randall Rd, Elgin, IL, 60123

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5525-059-000Medicare.gov
    $0a month

18 more Humana plans haven't been checked yet.

Capital Blue Cross · Highmark Blue Cross Blue Shield or Highmark Blue Shield

2 plans list Karen; not listed on 10 other plans.

2plans
  • Community Blue Medicare HMO Signature (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 6 Spruce St, West Reading, PA, 19611

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH3957-042-004Medicare.gov
    $0a month
  • Community Blue Medicare HMO Distinct (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 6 Spruce St, West Reading, PA, 19611

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH3957-049-005Medicare.gov
    $53a month

16 more Capital Blue Cross plans haven't been checked yet.

Aetna Medicare

Not checked yet.

4 more Aetna Medicare plans haven't been checked yet.

Anthem Blue Cross and Blue Shield

Not checked yet.

Devoted

Not checked yet.

6 more Devoted plans haven't been checked yet.

Geisinger Gold

Medicare.gov doesn't have provider data for these plans yet. We'll check again.

1 more Geisinger Gold plan hasn't been checked yet.

HealthPartners

Not checked yet.

HealthSpring

Not listed on its 3 plans here. That isn't proof they're out of network.

Highmark Wholecare Medicare Assured

Not listed on its 2 plans here. That isn't proof they're out of network.

Jefferson Health Plans

Not listed on its 8 plans here. That isn't proof they're out of network.

Molina Healthcare of Wisconsin

Not checked yet.

Network Health Medicare Advantage Plans

Not checked yet.

Perennial Advantage

Not checked yet.

UnitedHealthcare

Not checked yet.

11 more UnitedHealthcare plans haven't been checked yet.

UPMC for Life

Not listed on its 8 plans here. That isn't proof they're out of network.

UPMC for Life Complete Care

Not checked yet.

1 more UPMC for Life Complete Care plan hasn't been checked yet.

VISTA Health Plan Inc.

Not listed on its 1 plan here. That isn't proof they're out of network.

Wellcare

Not checked yet.

3 more Wellcare plans haven't been checked yet.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Karen takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

4 practice locations

301 S 7th Ave, Suite 210
West Reading, PA 19611

NPI Registry

855 N Westhaven Dr
Oshkosh, WI 54904

NPI Registry

228 Saint Charles Way Ste 200
York, PA 17402

NPI Registry

1425 N Randall Rd
Elgin, IL 60123

NPI Registry
NPI issued
2009
Registry record updated
Jul 30, 2025

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Karen Hoerst?

In Berks County, PA, Winnebago County, WI and York County, PA, 13 Medicare Advantage plans for 2027 list Karen in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (PPO), Humana Gold Choice H8145-052 (PFFS) and Humana USAA Honor Giveback (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Where does Karen Hoerst practice?

4 locations, including 301 S 7th Ave, West Reading, PA. All of them are listed on this page.

How do I confirm Karen is in my plan's network?

Call the member services number on your plan card and give them the NPI 1437392115, or ask a Silverpath advisor to check for you. It's free.

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Talk to a licensed advisor

A Silverpath advisor can confirm Karen's networks with the carrier and help you compare plans that include them.

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Is this your practice?

Patients can use Silverpath to find practices and check plan networks in Berks County, PA, Winnebago County, WI and York County, PA. Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2025-07-30). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 25, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Karen Hoerst or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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Does Karen take my plan?