CAROLYN GAULKE FNP
NPI 1912388752
Nurse Practitioner - Family in Bend, OR

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment
2200 NE NEFF RD STE 302, BEND, OR 97701(541) 706-4220 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carolyn Gaulke Fnp NPPES

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

CAROLYN GAULKE FNP (NPI 1912388752) is an individual family provider in Bend, Oregon, licensed in New York (339715) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and maintains a secondary practice location in Liverpool.

NPPES Registry Identity

NPI1912388752
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLYN GAULKECredential: FNP
Location Address2200 NE NEFF RD STE 302Bend, OR 97701-4279
Mailing Address5112 W Taft Rd, Suite HLiverpool, NY 13088 · (315) 452-3235 · Fax (315) 410-7490
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 17, 2015
Last NPPES UpdateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1912388752 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
License✔ Licensed in NY · 339715

Secondary Practice Location 1

Location 15112 W Taft Rd, Suite HLiverpool, NY 13088-4868 · Phone (315) 452-3235 · Fax (315) 410-7490

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn Gaulke Fnp 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 ID9133435621
PECOS Enrollment IDI20150828001095, I20250820001554
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Carolyn Gaulke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology
5112 W TAFT RD, SUITE H
Liverpool, NY 13088
  • Reassigned Medicare billing, New York enrollment
  • 50 clinicians in this Medicare group
Family Medicine
2500 NE NEFF RD
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 348 clinicians in this Medicare group
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 511 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.

Hospital Affiliations CMS Care Compare

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

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 20

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

Nurse Practitioner (Family)
2200 NE NEFF RD STE 302
BEND, OR 97701
Internal Medicine (Rheumatology)
2200 NE NEFF RD STE 302
BEND, OR 97701
Surgery
2200 NE NEFF RD STE 302
BEND, OR 97701
Surgery
2200 NE NEFF RD STE 302
BEND, OR 97701
Surgery
2200 NE NEFF RD STE 302
BEND, OR 97701
Internal Medicine
2200 NE NEFF RD STE 302
BEND, OR 97701
Surgery
2200 NE NEFF RD STE 302
BEND, OR 97701
Nurse Practitioner (Family)
2200 NE NEFF RD STE 302
BEND, OR 97701

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 Gaulke's NPI number?

The NPI number for Carolyn Gaulke is 1912388752. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Carolyn Gaulke located?

Carolyn Gaulke practices at 2200 NE Neff Rd Ste 302, Bend, OR 97701. The listed phone number is (541) 706-4220.

What is Carolyn Gaulke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carolyn Gaulke enrolled in Medicare?

Yes. Carolyn Gaulke 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.

Which organizations bill Medicare for Carolyn Gaulke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Gaulke reassigns Medicare benefits to 3 organizations: Gastroenterology & Hepatology Of Central New York, PC (Liverpool, NY), St. Charles Health System, Inc. (Bend, OR) and Wellnow Urgent Care, PC (Liverpool, NY). Each 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 Gaulke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Gaulke accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Carolyn Gaulke 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 Carolyn Gaulke affiliated with any hospitals?

According to CMS data, Carolyn Gaulke is affiliated with Crouse Hospital.

When was this NPI record last updated?

The NPPES record for Carolyn Gaulke was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.