Individual provider Active NPI

Caitlin W Helstrom, AUD, CCC-A

  • Audiologist
  • Presque Isle, ME
National Provider Identifier
1356512024
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AP1825 Issued in ME
Practice address
180 Academy St
Suite 1
Presque Isle, ME 04769-3183
Phone
(207) 760-8100
Fax
(207) 760-8188
NPI assigned
Mar 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AP1825 ME Primary

Addresses

Primary practice location

180 Academy St
Suite 1
Presque Isle, ME 04769-3183

Mailing address

180 Academy St
Suite 1
Presque Isle, ME 04769-3183
Phone (207) 760-8100

Other names 1

  • Caitlin G Wallace Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090416000108 ME Practitioner - Qualified Audiologist 2668529389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
71.56
Promoting interoperability
96
Improvement activities
40
Cost
76.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Aroostook Medical Center Current Accepting new patients
The Aroostook Medical Center CurrentSince Apr 2, 2016 Accepting new patients

Locations

931 Union St
Fl 3
Bangor, ME 04401

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

140 Academy St
Ste 12
Presque Isle, ME 04769
Phone (207) 760-8100

140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1356512024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ACADEMY ST",
            "address_2": "SUITE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693183",
            "telephone_number": "207-760-8100",
            "fax_number": "207-760-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ACADEMY ST",
            "address_2": "SUITE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693183",
            "telephone_number": "207-760-8100",
            "fax_number": "207-760-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELSTROM",
        "first_name": "CAITLIN",
        "middle_name": "W",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ME",
            "license": "AP1825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "WALLACE",
            "middle_name": "G",
            "credential": "AUD, CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Presque Isle, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.