Carolyn Gaulke, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

339715 Issued in NY

Practice address

2200 NE Neff Rd Ste 302
Bend, OR 97701-4279

Phone

(541) 706-4220

NPI assigned

Jun 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

Gastroenterology and Hepatology of Central New York, PCGroup PAC ID 3072505411, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.44 of 100Reported as group

Quality

89.84

Promoting interoperability

100

Improvement activities

40

Cost

78.28

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cgaulke221194@secure.stcharleshealthcare.org
• Direct secure messaging: cgaulke3235@hiemail.healtheconnections.org

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.

• St. Charles Health System, Inc.

  • Family Medicine Physician
  • Bend, OR
  • NPI 1023331303

  OR

  Medicare reassignment Care Compare group NPD
• Gastroenterology & Hepatology of Central New York, PC

  • Gastroenterology Physician
  • Liverpool, NY
  • NPI 1043202641

  NY

  Medicare reassignment Care Compare group NPD
• Wellnow Urgent Care, PC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162

  NY

  Medicare reassignment NPD
• St. Charles Health System, Inc.

  • Specialist
  • Bend, OR
  • NPI 1700697935
  Care Compare group NPD
• St. Charles Health System, Inc.

  • Specialist
  • Bend, OR
  • NPI 1295546406
  Care Compare group
• St. Charles Health System, Inc.

  • Specialist
  • Bend, OR
  • NPI 1316758527
  Care Compare group
• St. Charles Health System, Inc.

  • Specialist
  • Redmond, OR
  • NPI 1508677758
  Care Compare group
• Digestive Disease Center of Central New York, LLC

  • Ambulatory Surgical Clinic/Center
  • Liverpool, NY
  • NPI 1053505511
  NPD

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1912388752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD",
            "address_2": "SUITE H",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13088",
            "telephone_number": "315-452-3235",
            "fax_number": "315-410-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 302",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014279",
            "telephone_number": "541-706-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5112 W Taft Rd",
            "address_2": "Suite H",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130884868",
            "country_code": "US",
            "telephone_number": "315-452-3235",
            "fax_number": "315-410-7490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAULKE",
        "first_name": "CAROLYN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgaulke221194@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2200 NE Neff Rd Ste 302",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977014279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angie Gass
• Dylan Shea Gassert
• Marika Yedinak Gassner, D.O
• Jenna E Kandravi Gates, PT
• Jessica L Gatto, NP
• Anastasia Gauntlett
• Aisha Gaut, LMT
• Mikayla Gauthier, LMT
• Daniel Gaxiola
• Sheridan Jean Gaxiola, M.ED

• All providers in Bend, OR
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.