DR. MISTY LYNN CARLSON M.D.
NPI 1083824031
Pediatrics - Pediatric Cardiology in Springfield, OR
About Dr. Misty Lynn Carlson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MISTY LYNN CARLSON M.D. (NPI 1083824031) is an individual pediatric cardiology provider in Springfield, Oregon, licensed in Oregon (MD126085) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Misty Lynn Carlson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Misty Carlson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, OR 97477
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Coos Bay, OR 97420
- Reassigned Medicare billing, Oregon enrollment
- 327 clinicians in this Medicare group
Bend, OR 97701
- Reassigned Medicare billing, Oregon enrollment
- 307 clinicians in this Medicare group
Grants Pass, OR 97527
- Reassigned Medicare billing, Oregon enrollment
- 207 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 267 clinicians in this Medicare group
Seattle, WA 98118
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Seattle Childrens Hospital
- 912 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, OR 97477
SPRINGFIELD, OR 97477
SPRINGFIELD, OR 97477
SPRINGFIELD, OR 97477
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 Misty Carlson's NPI number?
The NPI number for Misty Carlson is 1083824031. It was assigned to this individual provider in the NPPES registry on May 22, 2007.
Where is Misty Carlson located?
Misty Carlson practices at 3377 Riverbend Dr, Springfield, OR 97477. The listed phone number is (541) 222-6160.
What is Misty Carlson's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Misty Carlson enrolled in Medicare?
Yes. Misty Carlson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Misty Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Misty Carlson reassigns Medicare benefits to 6 organizations: University Professional Services (Springfield, OR), Bay Area Hospital District (Coos Bay, OR), St. Charles Health System, Inc. (Bend, OR), Asante Three Rivers Medical Center, LLC (Grants Pass, OR), Asante (Medford, OR) and 1 more organization, 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 Misty Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Misty Carlson accept?
Health plans from Kaiser Permanente, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Misty 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 Misty Carlson was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Misty Lynn Carlson, M.D. · NPI 1083824031
Pediatric Cardiology physician in Springfield, Oregon. Individual provider, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1083824031 (Entity type: Individual)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** MD126085 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3377 RIVERBEND DR, Springfield, OR 97477-8803
- **Phone:** (541) 222-6160 · **Fax:** (541) 222-6166
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): University Professional Services (NPI 1568601607, Springfield, OR); Bay Area Hospital District (NPI 1225016561, Coos Bay, OR); St. Charles Health System, Inc. (NPI 1154506814, Bend, OR); Asante Three Rivers Medical Center, LLC (NPI 1801891809, Grants Pass, OR); Asante (NPI 1770587107, Medford, OR); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** October 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083824031) · Data from the CMS NPPES public registry.