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CAROLANNE PILCHER NP
NPI 1093298812
Nurse Practitioner - Family in Chelmsford, MA

Active since September 07, 2018PECOS EnrolledAccepts Medicare Assignment
23.46/100
CMS Quality Rating
35 VILLAGE SQ, CHELMSFORD, MA 01824(978) 250-9495 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 30, 2022, Nov 9, 2022, Oct 6, 2021 and 1 more (4 updates tracked since 2018).

About Carolanne Pilcher Np NPPES

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

CAROLANNE PILCHER NP (NPI 1093298812) is an individual family provider in Chelmsford, Massachusetts, licensed in New Hampshire (075193-23) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093298812
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLANNE PILCHERCredential: NP
Location Address35 VILLAGE SQChelmsford, MA 01824-2712
Mailing Address22 Monticello DrPelham, NH 03076-4302
Phone(978) 250-9495
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 7, 2018
Last NPPES UpdateNovember 30, 20224 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
✔ NPI 1093298812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NH · 075193-23
Also ListedFamily MedicineTaxonomy 207Q00000X · License RN256760 (MA)
35 VILLAGE SQ, Chelmsford, MA 01824
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.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

Carolanne Pilcher Np 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 ID244570372
PECOS Enrollment IDI20190327001060
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.

Areas of Expertise CMS Part B claims 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
787 services237 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
364 services157 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
189 services83 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
108 services63 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
93 services88 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
55 services54 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01824 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

23.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality30
Improvement Activities0
Cost17.81

Other Providers at the Same Location NPPES 2

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

DAMIAN FOLCH MD
Clinic/Center (Primary Care)
35 VILLAGE SQ
CHELMSFORD, MA 01824
Middlesex County (978) 250-9495
MRS. SUZANNE ARAUJO VAZQUEZ FNP-BC
Nurse Practitioner (Family)
35 VILLAGE SQ
CHELMSFORD, MA 01824
Middlesex County (978) 250-9495

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 Carolanne Pilcher's NPI number?

The NPI number for Carolanne Pilcher is 1093298812. It was assigned to this individual provider in the NPPES registry on September 7, 2018.

Where is Carolanne Pilcher located?

Carolanne Pilcher practices at 35 Village Sq, Chelmsford, MA 01824. The listed phone number is (978) 250-9495.

What is Carolanne Pilcher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carolanne Pilcher enrolled in Medicare?

Yes. Carolanne Pilcher 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 Carolanne Pilcher accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Carolanne Pilcher 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.

Is Carolanne Pilcher affiliated with any hospitals?

According to CMS data, Carolanne Pilcher is affiliated with Lawrence General Hospital.

When was this NPI record last updated?

The NPPES record for Carolanne Pilcher was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.