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

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: August 23, 2026.

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

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
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

Accepted Insurance

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

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.

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
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.
178 services66 patients
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.
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

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
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Psychiatry & Neurology (Neurology)
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Otolaryngology
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501

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 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.

Where is Caroline Marcotte located?

Caroline Marcotte practices at 1925 Mountain View Ave, Longmont, CO 80501. The listed phone number is (720) 718-8240.

What is Caroline Marcotte's specialty?

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

Is Caroline Marcotte enrolled in Medicare?

Yes. Caroline Marcotte 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.

What insurance does Caroline Marcotte accept?

Health plans from Medica list Caroline Marcotte 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 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 4 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.