BREANNA MARIE CARLSON FNP-C
NPI 1114755758
Nurse Practitioner - Family in Roseville, CA
About Breanna Marie Carlson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNA MARIE CARLSON FNP-C (NPI 1114755758) is an individual family provider in Roseville, California, licensed in California (95031284) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Breanna Marie Carlson Fnp-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
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 Breanna Carlson's NPI number?
The NPI number for Breanna Carlson is 1114755758. It was assigned to this individual provider in the NPPES registry on July 24, 2024.
Where is Breanna Carlson located?
Breanna Carlson practices at 151 N Sunrise Ave Ste 1201, Roseville, CA 95661. The listed phone number is (916) 780-0110.
What is Breanna Carlson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Breanna Carlson enrolled in Medicare?
Yes. Breanna 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.
When was this NPI record last updated?
The NPPES record for Breanna Carlson was last updated on July 24, 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.
# Breanna Marie Carlson, FNP-C · NPI 1114755758
Family physician in Roseville, California. Individual provider, active in the CMS NPPES registry since July 24, 2024.
## Identity
- **NPI:** 1114755758 (Entity type: Individual)
- **Enumerated:** July 24, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95031284 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 151 N SUNRISE AVE STE 1201, Roseville, CA 95661-2961
- **Phone:** (916) 780-0110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114755758) · Data from the CMS NPPES public registry.