CAROLINE E MARCOTTE
NPI 1942814462
Nurse Practitioner - Adult Health in Longmont, CO

Q: What is Caroline Marcotte's NPI number?

The NPI number for Caroline Marcotte is 1942814462. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Q: What is Caroline Marcotte's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Marcotte was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 02, 2020PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501(720) 718-8240(720) 494-3114 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 11, 2021, Dec 3, 2020, Sep 2, 2020 (3 updates tracked since 2020).

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About Caroline E Marcotte NPPES

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

CAROLINE E MARCOTTE (NPI 1942814462) is an individual adult health provider in Longmont, Colorado, licensed in Colorado (APN.0996746-NP) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1942814462

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameCAROLINE E MARCOTTE

Location Address1925 MOUNTAIN VIEW AVELongmont, CO 80501-3128

Mailing Address1925 Mountain View AveLongmont, CO 80501-3128 · (720) 718-8240

Phone(720) 718-8240

Fax(720) 494-3114

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 2, 2020

Last NPPES UpdateNovember 11, 20213 updates tracked since enumeration

NPPES CertifiedNovember 11, 2021

✔ NPI 1942814462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CO · APN.0996746-NP

Also ListedNurse PractitionerTaxonomy 363L00000X · License APN.0996746-NP (CO)

1925 MOUNTAIN VIEW AVE, Longmont, CO 80501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Select Health.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

Caroline E Marcotte 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 ID5991115685

PECOS Enrollment IDI20240214004174

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

Medicare enrollment records show Caroline Marcotte reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Poudre Valley Medical Group, LLC

18 mi

General Practice

2695 ROCKY MOUNTAIN AVE, SUITE 150
Loveland, CO 80538

Reassigned Medicare billing, Colorado enrollment
2,596 clinicians in this Medicare group

NPI 1366763260 (970) 624-4420

Healing Partners Plus PLLC

890 mi

Internal Medicine

2020 CALAMOS CT STE 250
Naperville, IL 60563

Reassigned Medicare billing, Illinois enrollment
46 clinicians in this Medicare group

NPI 1063217545 (888) 402-0202

Senf Np Family Medicine PLLC

897 mi

Surgery

1901 N ROSELLE RD STE 800
Schaumburg, IL 60195

Reassigned Medicare billing, Illinois enrollment
91 clinicians in this Medicare group

NPI 1821702432 (443) 383-9300

Trio Health Medical Il Np Partners PLLC

917 mi

Nurse Practitioner

2201 MAIN ST
Evanston, IL 60202

Reassigned Medicare billing, Illinois enrollment
73 clinicians in this Medicare group

NPI 1497637011 (773) 831-5021

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 14

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

224 services91 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

190 services80 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

178 services66 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

163 services49 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

134 services134 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

127 services47 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

114 services100 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

102 services102 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

80 services61 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

73 services72 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

61 services14 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

53 services19 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

21 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80501 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

DANIELLE POHLIT PA-C

Physician Assistant