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

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
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: August 09, 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, is affiliated with Thedacare Regional Med Ctr - Neenah, 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
Medical School CMSOtherGraduated 1997
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carolyn A Hellman D.o. 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 ID9436344454
PECOS Enrollment IDI20101116000262
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.

Hospital Affiliations CMS Care Compare 5

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Ascension Calumet Hospital

Critical Access Hospitals · Chilton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521317
Location614 Memorial DriveChilton, WI 53014 · Calumet County
Emergency services

Thedacare Medical Center - New London

Critical Access Hospitals · New London, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521326
Location1405 Mill StNew London, WI 54961 · Waupaca County
Emergency services

Berlin Memorial Hospital

Critical Access Hospitals · Berlin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521355
Location225 Memorial DriveBerlin, WI 54923 · Green Lake County
Emergency services Birthing friendly

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.

Is Carolyn Hellman affiliated with any hospitals?

According to CMS data, Carolyn Hellman is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc, Ascension Calumet Hospital, Thedacare Medical Center - New London and Berlin Memorial Hospital.

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.