CAROLYN L TERRY NP
NPI 1609178607
Nurse Practitioner - Neonatal, Critical Care in Fond Du Lac, WI
About Carolyn L Terry Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN L TERRY NP (NPI 1609178607) is an individual neonatal, critical care provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (4287) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carolyn L Terry Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carolyn Terry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kenosha, WI 53143
- Reassigned Medicare billing, Wisconsin enrollment
- 212 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 54935 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FOND DU LAC, WI 54935
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 Terry's NPI number?
The NPI number for Carolyn Terry is 1609178607. It was assigned to this individual provider in the NPPES registry on November 23, 2010.
Where is Carolyn Terry located?
Carolyn Terry practices at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (608) 719-8585.
What is Carolyn Terry's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.
Is Carolyn Terry enrolled in Medicare?
Yes. Carolyn Terry is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carolyn Terry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Terry reassigns Medicare benefits to Froedtert South, Inc. (Kenosha, WI). The 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 Terry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carolyn Terry was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Carolyn L Terry, NP · NPI 1609178607
Neonatal, Critical Care physician in Fond Du Lac, Wisconsin. Individual provider, active in the CMS NPPES registry since November 23, 2010.
## Identity
- **NPI:** 1609178607 (Entity type: Individual)
- **Enumerated:** November 23, 2010
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** 4287 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 430 E DIVISION ST, Fond Du Lac, WI 54935-4560
- **Phone:** (608) 719-8585
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Froedtert South, Inc. (NPI 1558305284, Kenosha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609178607) · Data from the CMS NPPES public registry.