IndividualActive
Carolyn Gilley
NPI 1043749617 · Primary Care Clinic/Center · Random Lake, WI
Carolyn Gilley is a Primary Care Clinic/Center provider in Random Lake, WI (NPI 1043749617).
Provider details
- NPI number
- 1043749617
- Entity type
- Individual
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
220 Carroll St
Random Lake, WI 53075-1795
Phone: (800) 490-3146
Street-level locationGet directions
Mailing address
220 Carroll St
Random Lake, WI 53075-1795
Registry dates
- Enumerated
- 2017-06-07
- Last updated
- 2017-06-07
Frequently asked questions
- What is Carolyn Gilley's NPI number?
- Carolyn Gilley's National Provider Identifier (NPI) is 1043749617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carolyn Gilley's specialty?
- Carolyn Gilley is listed in the NPPES registry with a primary specialty of Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Carolyn Gilley located?
- Carolyn Gilley's practice location on file with NPPES is 220 Carroll St, Random Lake, WI 53075-1795.
- What is Carolyn Gilley's phone number?
- The practice phone number listed in the NPPES registry for Carolyn Gilley is (800) 490-3146.
- Is Carolyn Gilley's NPI active?
- Yes — Carolyn Gilley's NPI (1043749617) is active in the NPPES registry as of the last update on 2017-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.