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CAROLYN GETCHELL
NPI 1942936265
Nurse Practitioner - Family in Rome, NY

Active since July 28, 2022PECOS EnrolledAccepts Medicare Assignment
103 W DOMINICK ST, ROME, NY 13440(315) 271-2394 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 29, 2023, Jul 28, 2022 (2 updates tracked since 2022).

About Carolyn Getchell NPPES

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

CAROLYN GETCHELL (NPI 1942936265) is an individual family provider in Rome, New York, licensed in New York (349933) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942936265
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLYN GETCHELL
Location Address103 W DOMINICK STRome, NY 13440-5809
Mailing Address7909 Turin RdRome, NY 13440-1908 · (315) 271-8793
Phone(315) 271-2394
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 28, 2022
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1942936265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 349933
Also ListedNurse PractitionerTaxonomy 363L00000X · License 349933 (NY)
103 W DOMINICK ST, Rome, NY 13440
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Getchell 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 ID2163806340
PECOS Enrollment IDI20220907003250, I20250618004129
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

4

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

Wellnow Urgent Care, PC
39 mi
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, New York and Pennsylvania enrollments
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 511 clinicians in this Medicare group
NPI 1669825162 (716) 699-9032
Emergency Physician Services Of New York, P.C.
129 mi
Emergency Medicine
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 356 clinicians in this Medicare group
NPI 1093759847 (845) 483-5000
Pic Indiana PC
557 mi
Urgent Care
505 W CLEVELAND RD
Mishawaka, IN 46545
  • Reassigned Medicare billing, Michigan enrollment
  • 93 clinicians in this Medicare group
NPI 1942546890 (815) 713-2600
Physicians Immediate Care North Chicago LLC
632 mi
Urgent Care
4211 N CICERO AVE, SUITE 100
Chicago, IL 60641
  • Reassigned Medicare billing, Illinois enrollment
  • 366 clinicians in this Medicare group
NPI 1205814118 (815) 713-2738

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 11

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
36 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services32 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13440 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Getchell's NPI number?

The NPI number for Carolyn Getchell is 1942936265. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Carolyn Getchell located?

Carolyn Getchell practices at 103 W Dominick St, Rome, NY 13440. The listed phone number is (315) 271-2394.

What is Carolyn Getchell's specialty?

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

Is Carolyn Getchell enrolled in Medicare?

Yes. Carolyn Getchell 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 Getchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Getchell reassigns Medicare benefits to 4 organizations: Wellnow Urgent Care, PC (Liverpool, NY), Emergency Physician Services Of New York, P.C. (Poughkeepsie, NY), Pic Indiana PC (Mishawaka, IN) and Physicians Immediate Care North Chicago LLC (Chicago, IL). 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 Getchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Getchell accept?

Health plans from CareSource list Carolyn Getchell 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 Getchell was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.