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CAROLE ANNETTE DOLEHANTY FNP-C
NPI 1639302862
Nurse Practitioner - Family in Moline, IL

Active since September 04, 2009PECOS Enrolled
612 35TH AVE STE 1, MOLINE, IL 61265(309) 788-0014(309) 623-4638 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carole Annette Dolehanty Fnp-c NPPES

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

CAROLE ANNETTE DOLEHANTY FNP-C (NPI 1639302862) is an individual family provider in Moline, Illinois, licensed in Illinois (209.007547) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rock Island.

NPPES Registry Identity

NPI1639302862
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLE ANNETTE DOLEHANTYCredential: FNP-C
Location Address612 35TH AVE STE 1Moline, IL 61265
Mailing Address612 35th Ave Ste 1Moline, IL 61265-6176 · (309) 788-0014 · Fax (309) 623-4638
Phone(309) 788-0014
Fax(309) 623-4638
Sole ProprietorNo
Enumeration DateSeptember 4, 2009
Last NPPES UpdateAugust 22, 2018
✔ NPI 1639302862 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
Licenses✔ Licensed in IL · 209.007547✔ Licensed in IA · A-119620
612 35TH AVE STE 1, Moline, IL 61265
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Secondary Practice Location 1

Location 12560 24th St, Suite 102Rock Island, IL 61201-5357 · Phone (309) 788-0014 · Fax (309) 793-3092

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carole Annette Dolehanty Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61265 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers22 claims272 services$18.44 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers21 claims634 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers47 claims241 services$5.56 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers17 claims36 services$1.07 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
6 suppliers30 claims3,900 services$6.58 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
11 suppliers466 claims478 services$183.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. RAMESHKUMAR RAMAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
612 35TH AVE STE 1
MOLINE, IL 61265
Rock Island County (309) 788-0014
MRS. MARIA PANIAMOGAN PA
Physician Assistant
612 35TH AVE STE 1
MOLINE, IL 61265
Rock Island County (309) 788-0014
CORY LYNN STRAUB M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
612 35TH AVE STE 1
MOLINE, IL 61265
Rock Island County (309) 788-0014

Frequently Asked Questions

What is Carole Dolehanty's NPI number?

The NPI number assigned to this healthcare provider is 1639302862, enumerated as an "individual" on September 04, 2009.

Where is the provider located?

The provider is located at 612 35TH AVE STE 1 MOLINE, IL 61265 and the phone number is (309) 788-0014.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.