CAROLYN ANN WALLMAN (APRN) – Nurse Practitioner, NPI 1578684411

CAROLYN ANN WALLMAN (APRN) is a healthcare provider. based in Everett, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 164236 (MA). The NPI Number for CAROLYN ANN WALLMAN (APRN) is 1578684411

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
CAROLYN ANN WALLMAN (APRN)
NPI
1578684411
Phone
(617) 797-4267
Address
103 GARLAND ST
Enumeration Date
2 April 2007
Last Update Date
10 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173896270
Graduation Year
1987 (39 years ago)
PAC ID
2961477179
Group Practice PAC ID
8921910894
Professional Enrollment ID
I20051128000162
Address ID
MA021495066EV103XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for CAROLYN ANN WALLMAN (APRN)

  • 103 GARLAND ST

    EVERETT, MA 021495066

    Phone: (617) 797-4267

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051128000162INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes338148$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes271104$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10887$0
99316Nursing facility discharge management, more than 30 minutes2018$0
View full utilization report →

Insurance plans in this area (ZIP 02149)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910894View full group profile
NameSpecialtyState
Family PracticeMA
-MA
-NH
Rheumatology, Internal MedicineMA
-MA
Emergency MedicineMA
Family PracticeMA
O B S T E T R I C S/ G Y N E C O L O G YPA
Emergency MedicineMA
Physician AssistantMA

Reviews

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Frequently asked questions

What NPI should I save for CAROLYN ANN WALLMAN (APRN)?
Save NPI 1578684411 if you need a stable reference for CAROLYN ANN WALLMAN (APRN).
Is CAROLYN ANN WALLMAN (APRN) active in the national directory?
CAROLYN ANN WALLMAN (APRN)'s public NPI profile is in an active state.
What does CAROLYN ANN WALLMAN (APRN) treat or focus on?
Patients typically see CAROLYN ANN WALLMAN (APRN) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does CAROLYN ANN WALLMAN (APRN) practice in Massachusetts?
You will see Everett, Massachusetts on file for CAROLYN ANN WALLMAN (APRN) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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