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

Q: 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.

Q: What is Carolynne Fagan's specialty?

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

Q: 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.

Active since January 14, 2021Accepts Medicare Assignment

32 STACY ST, MILTON, VT 05468(802) 893-1642 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Carolynne Fagan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Excel Physical Therapy Inc

8.7 mi

Physical Therapist

184 ROUTE 7 SOUTH
Milton, VT 05468

Reassigned Medicare billing, Vermont enrollment
7 clinicians in this Medicare group

NPI 1982708012 (802) 893-7427

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Carolynne Fagan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolynne Fagan reassigns Medicare benefits to Excel Physical Therapy Inc (Milton, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolynne Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.