CAROLYN W LERUM NP
NPI 1952580458
Nurse Practitioner - Obstetrics & Gynecology in Utica, NY

Active since October 31, 2007PECOS Enrolled
1656 CHAMPLIN AVE, UTICA, NY 13502(315) 624-6241(315) 624-6395 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolyn W Lerum Np NPPES

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

CAROLYN W LERUM NP (NPI 1952580458) is an individual obstetrics & gynecology provider in Utica, New York, licensed in New York (F360435-1) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Utica.

NPPES Registry Identity

NPI1952580458
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameCAROLYN W LERUMCredential: NP
Location Address1656 CHAMPLIN AVEUtica, NY 13502-4830
Mailing Address2209 Genesee Street, Business Office Room 310Utica, NY 13501 · (315) 801-3282 · Fax (315) 801-8391
Fax(315) 624-6395
Sole ProprietorNo
Enumeration DateOctober 31, 2007
Last NPPES UpdateMarch 17, 2018
NPI 1952580458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in NY · F360435-1
1656 CHAMPLIN AVE, Utica, NY 13502

Secondary Practice Location 1

Location 11424 Genesee StUtica, NY 13502-5101 · Phone (315) 724-6146 · Fax (315) 724-1411

Other Identifiers 2

Medicaid03577277NY
OtherF360435-1NY · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carolyn W Lerum Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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.

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.

Surgery
1656 CHAMPLIN AVE, P.O.B., SUITE 335
UTICA, NY 13502
Pharmacist
1656 CHAMPLIN AVE
UTICA, NY 13502
Nurse Practitioner
1656 CHAMPLIN AVE
UTICA, NY 13502
Speech-Language Pathologist
1656 CHAMPLIN AVE
UTICA, NY 13502
Physician Assistant
1656 CHAMPLIN AVE
UTICA, NY 13502
Dentist
1656 CHAMPLIN AVE
UTICA, NY 13502
Social Worker
1656 CHAMPLIN AVE
UTICA, NY 13502
Student in an Organized Health Care Education/Training Program
1656 CHAMPLIN AVE
UTICA, NY 13502

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 Lerum's NPI number?

The NPI number for Carolyn Lerum is 1952580458. It was assigned to this individual provider in the NPPES registry on October 31, 2007.

Where is Carolyn Lerum located?

Carolyn Lerum practices at 1656 Champlin Ave, Utica, NY 13502. The listed phone number is (315) 624-6241.

What is Carolyn Lerum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Carolyn Lerum enrolled in Medicare?

Yes. Carolyn Lerum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolyn Lerum was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.