JESSICA A. CARLSON MD
NPI 1265685432
Family Medicine in Bismarck, ND

Active since October 31, 2008PECOS EnrolledAccepts Medicare Assignment
83.98/100
CMS Quality Rating
225 N 7TH ST, BISMARCK, ND 58501(701) 323-6140(701) 323-8018 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2022, Jan 25, 2021 (2 updates tracked since 2021).

About Jessica A. Carlson Md NPPES

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

JESSICA A. CARLSON MD (NPI 1265685432) is an individual family medicine provider in Bismarck, North Dakota, licensed in North Dakota (TRL 11042) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of University Of North Dakota School Of Medicine (2008).

NPPES Registry Identity

NPI1265685432
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJESSICA A. CARLSONCredential: MD
Location Address225 N 7TH STBismarck, ND 58501-4417
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419
Fax(701) 323-8018
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2008
Enumeration DateOctober 31, 2008
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
NPI 1265685432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ND · TRL 11042
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
225 N 7TH ST, Bismarck, ND 58501

Other Identifiers 1

Medicaid12083ND

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

Jessica A. Carlson Md 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 ID7517133937
PECOS Enrollment IDI20120105000461
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services37 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability99
Improvement Activities40
Cost68.15

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.

Physical Therapist
225 N 7TH ST
BISMARCK, ND 58501
Physical Therapist
225 N 7TH ST
BISMARCK, ND 58501
Physical Therapist
225 N 7TH ST
BISMARCK, ND 58501
Orthopaedic Surgery
225 N 7TH ST
BISMARCK, ND 58501
Orthopaedic Surgery
225 N 7TH ST
BISMARCK, ND 58501
Internal Medicine (Endocrinology, Diabetes & Metabolism)
225 N 7TH ST
BISMARCK, ND 58501
Physician Assistant
225 N 7TH ST
BISMARCK, ND 58501
Otolaryngology
225 N 7TH ST
BISMARCK, ND 58501

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 Jessica Carlson's NPI number?

The NPI number for Jessica Carlson is 1265685432. It was assigned to this individual provider in the NPPES registry on October 31, 2008.

Where is Jessica Carlson located?

Jessica Carlson practices at 225 N 7th St, Bismarck, ND 58501. The listed phone number is (701) 323-6140.

What is Jessica Carlson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jessica Carlson enrolled in Medicare?

Yes. Jessica 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.

What insurance does Jessica Carlson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Jessica 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 Jessica Carlson affiliated with any hospitals?

According to CMS data, Jessica Carlson is affiliated with Chi St Alexius Health and Sanford Medical Center Bismarck.

When was this NPI record last updated?

The NPPES record for Jessica Carlson was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.