CAROLYN A HELLMAN D.O.
NPI 1497789929
Emergency Medicine in New London, WI

Active since July 10, 2006PECOS Enrolled
95.81/100
CMS Quality Rating
1405 MILL ST, NEW LONDON, WI 54961(920) 531-2000(920) 531-2098 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 10, 2024, Dec 21, 2021 (2 updates tracked since 2021).

About Carolyn A Hellman D.o. NPPES

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

CAROLYN A HELLMAN D.O. (NPI 1497789929) is an individual emergency medicine provider in New London, Wisconsin, licensed in Wisconsin (44708-021) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1497789929
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCAROLYN A HELLMANCredential: D.O.
Location Address1405 MILL STNew London, WI 54961-2155
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910
Fax(920) 531-2098
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateApril 10, 20242 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1497789929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 44708-021
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1405 MILL ST, New London, WI 54961

Secondary Practice Location 1

Location 1111 E Wisconsin AveMilwaukee, WI 53202-4815 · Phone (414) 290-6720 · Fax (414) 290-6755

Other Identifiers 3

Other930126462WI · Medicare Railroad
Medicaid34305900WI
Other930126463WI · Medicare Railroad

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn A Hellman D.o. 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.

Medicare Billing Reassignments

11

Medicare enrollment records show Carolyn Hellman reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
1405 MILL ST
New London, WI 54961
  • Reassigned Medicare billing, Wisconsin enrollment
  • 56 clinicians in this Medicare group
Emergency Medicine
800 RIVERSIDE DR
Waupaca, WI 54981
  • Reassigned Medicare billing, Wisconsin enrollment
  • 110 clinicians in this Medicare group
General Acute Care Hospital
1818 N MEADE ST
Appleton, WI 54911
  • Reassigned Medicare billing, Wisconsin enrollment
  • 35 clinicians in this Medicare group
Critical Access
100 COUNTY ROAD B
Shawano, WI 54166
  • Reassigned Medicare billing, Wisconsin enrollment
  • 174 clinicians in this Medicare group
Critical Access
601 GROVE AVE
Wild Rose, WI 54984
  • Reassigned Medicare billing, Wisconsin enrollment
  • 42 clinicians in this Medicare group
Critical Access
225 MEMORIAL DRIVE
Berlin, WI 54923
  • Reassigned Medicare billing, Wisconsin enrollment
  • 55 clinicians in this Medicare group
Critical Access
614 MEMORIAL DR
Chilton, WI 53014
  • Reassigned Medicare billing, Wisconsin enrollment
  • 91 clinicians in this Medicare group
Multi-Specialty
2300 WESTERN AVE
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 350 clinicians in this Medicare group
Emergency Medicine
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
  • Reassigned Medicare billing, Wisconsin enrollment
  • 32 clinicians in this Medicare group
Critical Access
323 S 18TH AVE
Sturgeon Bay, WI 54235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 131 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54961 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.

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.

95.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability81
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physical Therapist
1405 MILL ST
NEW LONDON, WI 54961
Nurse Practitioner (Family)
1405 MILL ST
NEW LONDON, WI 54961
Nurse Practitioner
1405 MILL ST
NEW LONDON, WI 54961
Physical Therapist
1405 MILL ST
NEW LONDON, WI 54961
Occupational Therapist
1405 MILL ST
NEW LONDON, WI 54961
Anesthesiology
1405 MILL ST
NEW LONDON, WI 54961
Physical Therapy Assistant
1405 MILL ST
NEW LONDON, WI 54961
Pharmacist
1405 MILL ST
NEW LONDON, WI 54961

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 Hellman's NPI number?

The NPI number for Carolyn Hellman is 1497789929. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Carolyn Hellman located?

Carolyn Hellman practices at 1405 Mill St, New London, WI 54961. The listed phone number is (920) 531-2000.

What is Carolyn Hellman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carolyn Hellman enrolled in Medicare?

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

Which organizations bill Medicare for Carolyn Hellman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Hellman reassigns Medicare benefits to 11 organizations: Thedacare Medical Center - New London, Inc. (New London, WI), Thedacare Medical Center - Waupaca, Inc. (Waupaca, WI), Thedacare Regional Medical Center - Appleton, Inc. (Appleton, WI), Thedacare Medical Center - Shawano, Inc. (Shawano, WI), Thedacare Medical Center - Wild Rose, Inc (Wild Rose, WI) and 6 more organizations, listed in the Medicare section above. Each 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 Carolyn Hellman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Hellman accept?

Health plans from CareSource (Common Ground Healthcare) list Carolyn Hellman 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 Hellman was last updated on April 10, 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.