CLARISSA EVANELL CARSON PMHNP
NPI 1205533155
Nurse Practitioner - Psychiatric/Mental Health in Medford, OR

Active since February 10, 2023PECOS EnrolledAccepts Medicare Assignment
1000 E MAIN ST, MEDFORD, OR 97504(541) 842-7705(541) 842-7640 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2026, Mar 8, 2023, Feb 10, 2023 (3 updates tracked since 2023).

About Clarissa Evanell Carson Pmhnp NPPES

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

CLARISSA EVANELL CARSON PMHNP (NPI 1205533155) is an individual psychiatric/mental health provider in Medford, Oregon, licensed in Oregon (10004386) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205533155
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCLARISSA EVANELL CARSONCredential: PMHNP
Location Address1000 E MAIN STMedford, OR 97504-7667
Mailing Address1000 E Main StMedford, OR 97504-7667 · (541) 773-3863 · Fax (541) 842-7640
Fax(541) 842-7640
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 10, 2023
Last NPPES UpdateApril 13, 20263 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
NPI 1205533155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 10004386
1000 E MAIN ST, Medford, OR 97504

Accepted Insurance

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

Clarissa Evanell Carson Pmhnp 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 ID6901270594
PECOS Enrollment IDI20230322001310
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 97504 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 12

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

Counselor (Mental Health)
1000 E MAIN ST
MEDFORD, OR 97504
Clinic/Center (Federally Qualified Health Center (FQHC))
1000 E MAIN ST
MEDFORD, OR 97504
Social Worker (Clinical)
1000 E MAIN ST
MEDFORD, OR 97504
Social Worker (Clinical)
1000 E MAIN ST
MEDFORD, OR 97504
Counselor (Mental Health)
1000 E MAIN ST
MEDFORD, OR 97504
Counselor (Professional)
1000 E MAIN ST
MEDFORD, OR 97504
Nurse Practitioner (Psychiatric/Mental Health)
1000 E MAIN ST
MEDFORD, OR 97504
Counselor (Addiction (Substance Use Disorder))
1000 E MAIN ST
MEDFORD, OR 97504

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 Clarissa Carson's NPI number?

The NPI number for Clarissa Carson is 1205533155. It was assigned to this individual provider in the NPPES registry on February 10, 2023.

Where is Clarissa Carson located?

Clarissa Carson practices at 1000 E Main St, Medford, OR 97504. The listed phone number is (541) 842-7705.

What is Clarissa Carson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Clarissa Carson enrolled in Medicare?

Yes. Clarissa Carson 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.

What insurance does Clarissa Carson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Clarissa Carson 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 Clarissa Carson was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.