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CARRIE J. GAJAFSKY APNP
NPI 1518930130
Nurse Practitioner in Waukesha, WI

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
2130 BIG BEND ROAD, PROHEALTH CARE MEDICAL ASSOCIATES, INC, WAUKESHA, WI 53189(262) 928-7555(262) 513-7575 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carrie J. Gajafsky Apnp NPPES

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

CARRIE J. GAJAFSKY APNP (NPI 1518930130) is an individual nurse practitioner in Waukesha, Wisconsin, licensed in Wisconsin (1803) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1518930130
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARRIE J. GAJAFSKYCredential: APNP
Location Address2130 BIG BEND ROAD, PROHEALTH CARE MEDICAL ASSOCIATES, INCWaukesha, WI 53189
Mailing AddressN17 W24100 Riverwood Drive, Prohealth Care Medical Associates, IncWaukesha, WI 53188-1177 · (262) 928-4100 · Fax (262) 928-5835
Phone(262) 928-7555
Fax(262) 513-7575
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 13, 2006
Last NPPES UpdateNovember 2, 2011
✔ NPI 1518930130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 1803
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.
2130 BIG BEND ROAD, Waukesha, WI 53189
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Other Identifiers 4

Medicare PIN683750618WI
Medicaid43997200WI
Medicare UPINP93013WI
Medicare PIN003368580WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health, UnitedHealthcare.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

Carrie J. Gajafsky Apnp 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 ID7719956945
PECOS Enrollment IDI20040924000999
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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services93 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services92 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
26 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53189 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

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

CARYN A. BROWNELL M.D.
Family Medicine
2130 BIG BEND ROAD, PROHEALTH CARE MEDICAL ASSOCIATES, INC.
WAUKESHA, WI 53189
Waukesha County (262) 928-7555

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 Carrie Gajafsky's NPI number?

The NPI number for Carrie Gajafsky is 1518930130. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Carrie Gajafsky located?

Carrie Gajafsky practices at 2130 Big Bend Road Prohealth Care Medical Associates, Inc, Waukesha, WI 53189. The listed phone number is (262) 928-7555.

What is Carrie Gajafsky's specialty?

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

Is Carrie Gajafsky enrolled in Medicare?

Yes. Carrie Gajafsky 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 Carrie Gajafsky accept?

Health plans from Network Health and UnitedHealthcare list Carrie Gajafsky 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 Carrie Gajafsky affiliated with any hospitals?

According to CMS data, Carrie Gajafsky is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carrie Gajafsky was last updated on November 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.