MS. CAROLYN JEAN EWELL FNP
NPI 1760513667
Nurse Practitioner - Family in Roosevelt, UT
About Ms. Carolyn Jean Ewell Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CAROLYN JEAN EWELL FNP (NPI 1760513667) is an individual family provider in Roosevelt, Utah, licensed in Utah (2235264405) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Carolyn Jean Ewell Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carolyn Ewell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Evanston, WY 82930
- Reassigned Medicare billing, Wyoming enrollment
- 25 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84066 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ewell's NPI number?
The NPI number for Carolyn Ewell is 1760513667. It was assigned to this individual provider in the NPPES registry on March 9, 2007. The provider is also known as Carolyn Jean Gagliasso.
Where is Carolyn Ewell located?
Carolyn Ewell practices at 136 N 500 W, Roosevelt, UT 84066. The listed phone number is (435) 722-4843.
What is Carolyn Ewell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carolyn Ewell enrolled in Medicare?
Yes. Carolyn Ewell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carolyn Ewell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Ewell reassigns Medicare benefits to State Of Wyoming (Evanston, WY). 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 Ewell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carolyn Ewell accept?
Health plans from Blue Cross Blue Shield of Wyoming list Carolyn Ewell 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.
When was this NPI record last updated?
The NPPES record for Carolyn Ewell was last updated on December 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ms. Carolyn Jean Ewell, FNP · NPI 1760513667
Family physician in Roosevelt, Utah. Individual provider, active in the CMS NPPES registry since March 9, 2007.
## Identity
- **NPI:** 1760513667 (Entity type: Individual)
- **Enumerated:** March 9, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2235264405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 136 N 500 W, Roosevelt, UT 84066-2758
- **Phone:** (435) 722-4843
## 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:** State Of Wyoming (NPI 1316011562, Evanston, WY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2016
- **Other identifiers:** Medicare UPIN PO9724 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1760513667) · Data from the CMS NPPES public registry.