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NICOLE CHRISTIANNE CARSON FNP-BC, APRN
NPI 1104622646
Nurse Practitioner - Family in Agana Heights, GU

Active since February 24, 2025PECOS Enrolled
50 FARENHOLT AVE, AGANA HEIGHTS, GU 96910(671) 344-9222 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Christianne Carson Fnp-bc, Aprn NPPES

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

NICOLE CHRISTIANNE CARSON FNP-BC, APRN (NPI 1104622646) is an individual family provider in Agana Heights, Guam, licensed in Guam (100406) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104622646
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE CHRISTIANNE CARSONCredential: FNP-BC, APRN
Location Address50 FARENHOLT AVEAgana Heights, GU 96910
Mailing Address104 Pale De Leon StSanta Rita, GU 96915-1657 · (671) 480-2186
Phone(671) 344-9222
Sole ProprietorNo
Enumeration DateFebruary 24, 2025
NPPES CertifiedFebruary 19, 2025
✔ NPI 1104622646 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
License✔ Licensed in GU · 100406

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Christianne Carson Fnp-bc, Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96910 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

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 Nicole Carson's NPI number?

The NPI number for Nicole Carson is 1104622646. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Where is Nicole Carson located?

Nicole Carson practices at 50 Farenholt Ave, Agana Heights, GU 96910. The listed phone number is (671) 344-9222.

What is Nicole Carson's specialty?

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

Is Nicole Carson enrolled in Medicare?

Yes. Nicole Carson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Carson was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.