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CAROLYNNE FAGAN
NPI 1043809064
Specialist/Technologist - Athletic Trainer in Milton, VT

Active since January 14, 2021Accepts Medicare Assignment

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolynne Fagan NPPES

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

CAROLYNNE FAGAN (NPI 1043809064) is an individual athletic trainer provider in Milton, Vermont and active in the NPI registry since January 2021. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1043809064
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameCAROLYNNE FAGAN
Location Address32 STACY STMilton, VT 05468-4161
Mailing Address32 Stacy StMilton, VT 05468-4161 · (802) 893-1642
Phone(802) 893-1642
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 14, 2021
NPPES CertifiedJanuary 14, 2021
✔ NPI 1043809064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedPhysical TherapistTaxonomy 225100000X
32 STACY ST, Milton, VT 05468
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolynne Fagan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971044694
PECOS Enrollment IDI20240923000363

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
317 services21 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
61 services14 patients

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 Carolynne Fagan's NPI number?

The NPI number for Carolynne Fagan is 1043809064. It was assigned to this individual provider in the NPPES registry on January 14, 2021.

Where is Carolynne Fagan located?

Carolynne Fagan practices at 32 Stacy St, Milton, VT 05468. The listed phone number is (802) 893-1642.

What is Carolynne Fagan's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Is Carolynne Fagan enrolled in Medicare?

Yes. Carolynne Fagan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carolynne Fagan accept?

Health plans from Anthem Blue Cross and Blue Shield list Carolynne Fagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolynne Fagan was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.