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CAITLIN M CARLSON NP
NPI 1023686508
Nurse Practitioner - Family in Papillion, NE

Active since June 11, 2021PECOS EnrolledAccepts Medicare Assignment
701 PINNACLE DR STE 105, PAPILLION, NE 68046(402) 505-7989 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2025, Jun 11, 2021 (2 updates tracked since 2021).

About Caitlin M Carlson Np NPPES

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

CAITLIN M CARLSON NP (NPI 1023686508) is an individual family provider in Papillion, Nebraska, licensed in Nebraska (113476) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023686508
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAITLIN M CARLSONCredential: NP
Location Address701 PINNACLE DR STE 105Papillion, NE 68046-6228
Mailing Address701 Pinnacle Dr Ste 105Papillion, NE 68046-6228 · (402) 505-7989
Phone(402) 505-7989
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 11, 2021
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1023686508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NE · 113476✔ Licensed in IA · A165195
701 PINNACLE DR STE 105, Papillion, NE 68046
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caitlin M Carlson Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082019310
PECOS Enrollment IDI20210825002558, I20211202000958
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.

Medicare Billing Reassignments

8

Medicare enrollment records show Caitlin Carlson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essence Med LLC
9.4 mi
Family Medicine
3424 W BROADWAY
Council Bluffs, IA 51501
  • Reassigned Medicare billing, Iowa enrollment
  • 3 clinicians in this Medicare group
NPI 1750952875 (712) 796-3481
Vwb LLC
10 mi
Urgent Care
4004 N 132ND ST STE 101
Omaha, NE 68164
  • Reassigned Medicare billing, Nebraska enrollment
  • 24 clinicians in this Medicare group
NPI 1154943835 (402) 302-2273
Diversified Mobile Pt LLC
11 mi
Nurse Practitioner
5114 N 137TH ST
Omaha, NE 68164
  • Reassigned Medicare billing, Nebraska enrollment
  • 13 clinicians in this Medicare group
NPI 1164289880 (402) 819-7956
Ch Specialty Services Ia PC
117 mi
Internal Medicine
444 N WEST VIEW DR
Osceola, IA 50213
  • Reassigned Medicare billing, Iowa enrollment
  • 204 clinicians in this Medicare group
NPI 1942909353 (337) 408-0797
Curana Health Of Iowa PLLC
117 mi
Internal Medicine
444 N WEST VIEW DR
Osceola, IA 50213
  • Reassigned Medicare billing, Iowa and Nebraska enrollments
  • 217 clinicians in this Medicare group
NPI 1730773714 (337) 991-9276
Signify Health Medical Associates, PLLC
570 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Iowa and Nebraska enrollments
  • 202 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Provider Partners Care Management LP
1,023 mi
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Nebraska enrollment
  • 8 clinicians in this Medicare group
NPI 1013348028 (443) 275-9800
Infinite Medical PC
1,282 mi
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, Nebraska enrollment
  • 39 clinicians in this Medicare group
NPI 1407483175 (718) 964-6161

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
477 services175 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
420 services202 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.
186 services128 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
173 services118 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
132 services132 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.
105 services104 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160047
Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68046 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 7

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

MULTICARE MEDICAL GROUP PC
Physical Medicine & Rehabilitation (Pain Medicine)
701 PINNACLE DR STE 105
PAPILLION, NE 68046
Sarpy County (402) 505-7989
DEREK DUERST DPT
Physical Therapist
701 PINNACLE DR STE 105
PAPILLION, NE 68046
Sarpy County (402) 505-7989
STACEY DARNOLD FNP
Nurse Practitioner (Family)
701 PINNACLE DR STE 105
PAPILLION, NE 68046
Sarpy County (402) 505-7989
PAIN WEST INJURY CENTER PC
Physical Medicine & Rehabilitation (Pain Medicine)
701 PINNACLE DR STE 105
PAPILLION, NE 68046
Sarpy County (402) 218-7989
DR. JAY D HERMAN DPT
Physical Therapist
701 PINNACLE DR STE 105
PAPILLION, NE 68046
Sarpy County (402) 505-7989
DR. SHERYL ANN BAKARE DNP, APRN
Nurse Practitioner (Family)
701 PINNACLE DR STE 105
PAPILLION, NE 68046
Sarpy County (402) 505-7989
KOSTANTINA SGOURAKIS
Massage Therapist
701 PINNACLE DR STE 105
PAPILLION, NE 68046
Sarpy County (402) 505-7989

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 Caitlin Carlson's NPI number?

The NPI number for Caitlin Carlson is 1023686508. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Caitlin Carlson located?

Caitlin Carlson practices at 701 Pinnacle Dr Ste 105, Papillion, NE 68046. The listed phone number is (402) 505-7989.

What is Caitlin Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Caitlin Carlson enrolled in Medicare?

Yes. Caitlin Carlson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Caitlin Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Carlson reassigns Medicare benefits to 8 organizations: Essence Med LLC (Council Bluffs, IA), Vwb LLC (Omaha, NE), Diversified Mobile Pt LLC (Omaha, NE), Ch Specialty Services Ia PC (Osceola, IA), Curana Health Of Iowa PLLC (Osceola, IA) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caitlin Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caitlin Carlson accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Caitlin 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.

Is Caitlin Carlson affiliated with any hospitals?

According to CMS data, Caitlin Carlson is affiliated with Methodist Jennie Edmundson and Chi Health Bergan Mercy.

When was this NPI record last updated?

The NPPES record for Caitlin Carlson was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.