CAROLYN F SELF FNP
NPI 1194791350
Nurse Practitioner - Family in Ashland, OR

Active since February 27, 2006Opted out of Medicare · through Oct 1, 2026
1630 SISKIYOU BLVD STE B, ASHLAND, OR 97520(541) 664-5151 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolyn F Self Fnp NPPES

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

CAROLYN F SELF FNP (NPI 1194791350) is an individual family provider in Ashland, Oregon and active in the NPI registry since February 2006. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194791350
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLYN F SELFCredential: FNP
Location Address1630 SISKIYOU BLVD STE BAshland, OR 97520-2423
Mailing Address1208 Beall LnCentral Point, OR 97502-1573 · (541) 664-5151
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateNovember 15, 2007
NPI 1194791350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1630 SISKIYOU BLVD STE B, Ashland, OR 97520

Other Identifiers 1

Medicare PINR135416OR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Carolyn F Self Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97520 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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

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

Registered Nurse (General Practice)
1630 SISKIYOU BLVD STE B
ASHLAND, OR 97520

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 Self's NPI number?

The NPI number for Carolyn Self is 1194791350. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Carolyn Self located?

Carolyn Self practices at 1630 Siskiyou Blvd Ste B, Ashland, OR 97520. The listed phone number is (541) 664-5151.

What is Carolyn Self's specialty?

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

Is Carolyn Self enrolled in Medicare?

No. Carolyn Self has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Carolyn Self accept?

Health plans from Moda Health Plan, Inc. list Carolyn Self 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 Self was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.