CAROLYN T MCCARTHY NP
NPI 1063464337
Nurse Practitioner in Milwaukee, WI

Active since May 16, 2006PECOS Enrolled
130 W BRUCE ST, SUITE 200, MILWAUKEE, WI 53204(414) 384-1400 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2024, Nov 23, 2021, Nov 16, 2016 (3 updates tracked since 2016).

About Carolyn T Mccarthy Np NPPES

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

CAROLYN T MCCARTHY NP (NPI 1063464337) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (13525-33) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063464337
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROLYN T MCCARTHYCredential: NP
Location Address130 W BRUCE ST, SUITE 200Milwaukee, WI 53204-1667
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (003) 262-2508
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateApril 22, 20243 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1063464337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in WI · 13525-33 Licensed in MI · 4704216109
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.
130 W BRUCE ST, Milwaukee, WI 53204

Other Identifiers 5

Medicaid100014626WI
Medicaid4850425MI
Medicaid4850407MI
Medicaid4850416MI
Other700D114790MI · Bcbs Group #

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carolyn T Mccarthy Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Psychologist
130 W BRUCE ST, STE 200
MILWAUKEE, WI 53204
Counselor (Mental Health)
130 W BRUCE ST
MILWAUKEE, WI 53204
Nurse Practitioner
130 W BRUCE ST
MILWAUKEE, WI 53204
Nurse Practitioner
130 W BRUCE ST, 200
MILWAUKEE, WI 53204
Nurse Practitioner
130 W BRUCE ST, #200
MILWAUKEE, WI 53204

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 Carolyn Mccarthy's NPI number?

The NPI number for Carolyn Mccarthy is 1063464337. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Carolyn Mccarthy located?

Carolyn Mccarthy practices at 130 W Bruce St Suite 200, Milwaukee, WI 53204. The listed phone number is (414) 384-1400.

What is Carolyn Mccarthy's specialty?

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

Is Carolyn Mccarthy enrolled in Medicare?

Yes. Carolyn Mccarthy is registered in the Medicare PECOS enrollment system.

What insurance does Carolyn Mccarthy accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and UnitedHealthcare list Carolyn Mccarthy 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 Carolyn Mccarthy was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.