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MR. TIMOTHY A CARLSON CRNP
NPI 1003818758
Nurse Practitioner in Reading, PA

Active since August 12, 2005PECOS Enrolled
2234 PERKIOMEN AVE, READING, PA 19606(610) 370-2511(610) 370-9348 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Timothy A Carlson Crnp NPPES

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

MR. TIMOTHY A CARLSON CRNP (NPI 1003818758) is an individual nurse practitioner in Reading, Pennsylvania, licensed in Pennsylvania (SP005613B) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003818758
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. TIMOTHY A CARLSONCredential: CRNP
Location Address2234 PERKIOMEN AVEReading, PA 19606-1830
Mailing Address2234 Perkiomen AveReading, PA 19606-1830 · (610) 370-2511 · Fax (610) 370-9348
Phone(610) 370-2511
Fax(610) 370-9348
Sole ProprietorNo
Enumeration DateAugust 12, 2005
Last NPPES UpdateApril 29, 2014
✔ NPI 1003818758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP005613B
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2234 PERKIOMEN AVE, Reading, PA 19606
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Other Identifiers 3

Medicare ID-Type Unspecified031376PA
Medicaid007706668PA
Medicare UPIN589207PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy A Carlson Crnp 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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
710 services122 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
205 services79 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
96 services56 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
73 services54 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
57 services47 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19606 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PERKIOMEN INTERNAL MEDICINE ASSOC., P.C.
Internal Medicine
2234 PERKIOMEN AVE
READING, PA 19606
Berks County (610) 370-2511
KERSTEN ELIZABETH REIDER CRNP
Nurse Practitioner (Primary Care)
2234 PERKIOMEN AVE
MOUNT PENN, PA 19606
Berks County (610) 370-2511
MRS. CAROL A ROACH CRNP
Nurse Practitioner (Family)
2234 PERKIOMEN AVE
READING, PA 19606
Berks County (610) 370-2511
DR. LEIF ERIC CHRISTIANSEN D.O.
Internal Medicine
2234 PERKIOMEN AVE
READING, PA 19606
Berks County (610) 370-2511

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 Timothy Carlson's NPI number?

The NPI number for Timothy Carlson is 1003818758. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Timothy Carlson located?

Timothy Carlson practices at 2234 Perkiomen Ave, Reading, PA 19606. The listed phone number is (610) 370-2511.

What is Timothy Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Timothy Carlson enrolled in Medicare?

Yes. Timothy Carlson is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Carlson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Timothy Carlson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Carlson was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.