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SUMMER DAWN CARLSON
NPI 1295256824
Nurse Practitioner - Family in Durham, NC

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment
40 DUKE MEDICINE CIRCLE, CLINIC 2D, DURHAM, NC 27710(919) 684-8845 Get Directions Write a Review

NPPES record last updated: July 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summer Dawn Carlson NPPES

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

SUMMER DAWN CARLSON (NPI 1295256824) is an individual family provider in Durham, North Carolina, licensed in North Carolina (5009643) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295256824
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUMMER DAWN CARLSON
Location Address40 DUKE MEDICINE CIRCLE, CLINIC 2DDurham, NC 27710
Mailing Address216 Brook LnDurham, NC 27712-1917 · (919) 417-1615
Phone(919) 684-8845
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 5, 2017
✔ NPI 1295256824 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 NC · 5009643
40 DUKE MEDICINE CIRCLE, Durham, NC 27710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Summer Dawn Carlson 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 ID6901141159
PECOS Enrollment IDI20181217003209
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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

PETER G PASSIAS MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
40 DUKE MEDICINE CIRCLE, DUKE SPINE CENTER CLINIC 1B/1C
DURHAM, NC 27710
Durham County (919) 618-2735
KELSIE MITCHELL
Speech-Language Pathologist
40 DUKE MEDICINE CIRCLE, DEPT OF SPEECH PATHOLOGY & AUDIOLOGY - DUKE UNIVER
DURHAM, NC 27710
Durham County (919) 684-6271
ARTHUR SUAREZ M.S., CCC-SLP
Speech-Language Pathologist
40 DUKE MEDICINE CIRCLE, CLINIC 1-I
DURHAM, NC 27710
Durham County (919) 684-3451
JOSHUA THOMAS THADEN M.D./PH.D.
Internal Medicine (Infectious Disease)
40 DUKE MEDICINE CIRCLE, CLINIC 1K
DURHAM, NC 27710
Durham County (919) 668-3197
DR. NANCY ADALYN WILSON WESTMARK DMD, MPH
Dentist
40 DUKE MEDICINE CIRCLE, CLINIC 1F
DURHAM, NC 27710
Durham County (919) 660-1263
DEVIN BYRON LEMMEX MD
Student in an Organized Health Care Education/Training Program
40 DUKE MEDICINE CIRCLE, ROOM 5309 (ORANGE BUILDING)
DURHAM, NC 27710
Durham County (919) 684-3170
MEREDITH MACEWEN ARANGALA RD, LDN, CNSC
Dietitian, Registered
40 DUKE MEDICINE CIRCLE, ROOM 015, PURPLE ZONE
DURHAM, NC 27710
Durham County (919) 684-2110
SUSAN BOWEN FREEMAN
Clinical Nurse Specialist
40 DUKE MEDICINE CIRCLE
DURHAM, NC 27710
Durham County (919) 681-1862

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 Summer Carlson's NPI number?

The NPI number for Summer Carlson is 1295256824. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Summer Carlson located?

Summer Carlson practices at 40 Duke Medicine Circle Clinic 2D, Durham, NC 27710. The listed phone number is (919) 684-8845.

What is Summer Carlson's specialty?

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

Is Summer Carlson enrolled in Medicare?

Yes. Summer 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 Summer Carlson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Summer 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 Summer Carlson affiliated with any hospitals?

According to CMS data, Summer Carlson is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Summer Carlson was last updated on July 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.