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DR. CARYN KENDRA SLACK M.D.
NPI 1689619124
Family Medicine in Bridgeport, CA

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment
199 TWIN LAKES RD, BRIDGEPORT, CA 93517(530) 495-2100(530) 495-2100 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 25, 2025, Nov 18, 2021, Mar 16, 2016 (3 updates tracked since 2016).

About Dr. Caryn Kendra Slack M.d. NPPES

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

DR. CARYN KENDRA SLACK M.D. (NPI 1689619124) is an individual family medicine provider in Bridgeport, California, licensed in California (C152597) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Carson Valley Health, and is a graduate of University Of Minnesota Medical School (2000).

NPPES Registry Identity

NPI1689619124
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARYN KENDRA SLACKCredential: M.D.
Location Address199 TWIN LAKES RDBridgeport, CA 93517-8050
Mailing Address250 N See Vee LnBishop, CA 93514-8130 · (760) 873-8464 · Fax (760) 503-5452
Phone(530) 495-2100
Fax(530) 495-2100
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2000
Enumeration DateJune 18, 2006
Last NPPES UpdateNovember 25, 20253 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1689619124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · C152597
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
199 TWIN LAKES RD, Bridgeport, CA 93517
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Other Identifiers 1

MedicaidTHP11576FCA

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

Dr. Caryn Kendra Slack M.d. 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 ID4688645401
PECOS Enrollment IDI20040804001509, I20180216002309
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

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

Carson Valley Health

Critical Access Hospitals · Gardnerville, NV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number291306
Location1107 Highway 395Gardnerville, NV 89410 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93517 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$12.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Caryn Slack's NPI number?

The NPI number for Caryn Slack is 1689619124. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Caryn Slack located?

Caryn Slack practices at 199 Twin Lakes Rd, Bridgeport, CA 93517. The listed phone number is (530) 495-2100.

What is Caryn Slack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Caryn Slack enrolled in Medicare?

Yes. Caryn Slack 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.

Is Caryn Slack affiliated with any hospitals?

According to CMS data, Caryn Slack is affiliated with Carson Valley Health.

When was this NPI record last updated?

The NPPES record for Caryn Slack was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.