MS. CAROLYNN MATHISEN NP
NPI 1023020880
Nurse Practitioner in Worcester, MA

Active since August 12, 2006
55 LAKE AVE N, ICU, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: March 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Carolynn Mathisen Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CAROLYNN MATHISEN NP (NPI 1023020880) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (115057) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1023020880
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. CAROLYNN MATHISENCredential: NP
Location Address55 LAKE AVE N, ICUWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348
Sole ProprietorNo
Enumeration DateAugust 12, 2006
Last NPPES UpdateMarch 5, 2009
NPI 1023020880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · 115057
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

55 LAKE AVE N, Worcester, MA 01655

Other Identifiers 3

Medicaid0325261MA
Medicare PINNP1593MA
Medicare UPINS72536MA

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%54 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolynn Mathisen's NPI number?

The NPI number for Carolynn Mathisen is 1023020880. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Carolynn Mathisen located?

Carolynn Mathisen practices at 55 Lake Ave N Icu, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Carolynn Mathisen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Carolynn Mathisen was last updated on March 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.