CYNTHIA CARLSON FNP
NPI 1285608844
Nurse Practitioner - Family in Dunkirk, NY

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
10836 TEMPLE RD, DUNKIRK, NY 14048(716) 366-6400 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 23, 2019, Aug 12, 2016 (2 updates tracked since 2016).

About Cynthia Carlson Fnp NPPES

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

CYNTHIA CARLSON FNP (NPI 1285608844) is an individual family provider in Dunkirk, New York, licensed in New York (F334638) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1285608844
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCYNTHIA CARLSONCredential: FNP
Location Address10836 TEMPLE RDDunkirk, NY 14048-9610
Mailing Address1 W 2nd StWestfield, NY 14787-1200 · (716) 499-5003
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 13, 2006
Last NPPES UpdateJanuary 23, 20192 updates tracked since enumeration
✔ NPI 1285608844 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 NY · F334638
10836 TEMPLE RD, Dunkirk, NY 14048

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cynthia Carlson Fnp 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 ID7214942127
PECOS Enrollment IDI20060216000206
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Cynthia Carlson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
565 ABBOTT RD
Buffalo, NY 14220
  • Reassigned Medicare billing, New York enrollment
Family Medicine
260 CHRISTOPHER LN STE 102A
Staten Island, NY 10314
  • Reassigned Medicare billing, New York enrollment
  • 43 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.

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
501 services154 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
405 services134 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
43 services41 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
21 services11 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14048 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers36 claims40 services$29.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Pharmacist
10836 TEMPLE RD
DUNKIRK, NY 14048
Physical Therapist
10836 TEMPLE RD
DUNKIRK, NY 14048
Occupational Therapist
10836 TEMPLE RD
DUNKIRK, NY 14048
Pharmacist
10836 TEMPLE RD
DUNKIRK, NY 14048
Pharmacist
10836 TEMPLE RD
DUNKIRK, NY 14048
Occupational Therapist
10836 TEMPLE RD
DUNKIRK, NY 14048
Occupational Therapist
10836 TEMPLE RD
DUNKIRK, NY 14048
Physical Therapist
10836 TEMPLE RD
DUNKIRK, NY 14048

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 Cynthia Carlson's NPI number?

The NPI number for Cynthia Carlson is 1285608844. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Cynthia Carlson located?

Cynthia Carlson practices at 10836 Temple Rd, Dunkirk, NY 14048. The listed phone number is (716) 366-6400.

What is Cynthia Carlson's specialty?

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

Is Cynthia Carlson enrolled in Medicare?

Yes. Cynthia 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.

Which organizations bill Medicare for Cynthia Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Carlson reassigns Medicare benefits to 2 organizations: (Buffalo, NY) and Rd Medical Professional Services PC (Staten Island, NY). 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 Cynthia Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cynthia Carlson was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.