KELLY JEAN STAUSS CARLSON NP-C
NPI 1306126255
Nurse Practitioner - Family in Grand Forks, ND

Q: What is Kelly Stauss Carlson's NPI number?

The NPI number for Kelly Stauss Carlson is 1306126255. It was assigned to this individual provider in the NPPES registry on August 24, 2011.

Q: What is Kelly Stauss Carlson's specialty?

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

Active since August 24, 2011PECOS EnrolledAccepts Medicare Assignment

83.72/100

CMS Quality Rating

1000 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58206(701) 780-5000(701) 235-2099 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kelly Jean Stauss Carlson Np-c NPPES

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

KELLY JEAN STAUSS CARLSON NP-C (NPI 1306126255) is an individual family provider in Grand Forks, North Dakota, licensed in North Dakota (R28140) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (2011).

NPPES Registry Identity

NPI1306126255

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY JEAN STAUSS CARLSONCredential: NP-C

Location Address1000 SOUTH COLUMBIA ROADGrand Forks, ND 58206-6002

Mailing AddressPo Box 6002Grand Forks, ND 58206-6002 · (701) 780-5000 · Fax (701) 235-2099

Phone(701) 780-5000

Fax(701) 235-2099

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2011

Enumeration DateAugust 24, 2011

Last NPPES UpdateOctober 25, 2012

✔ NPI 1306126255 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 ND · R28140

1000 SOUTH COLUMBIA ROAD, Grand Forks, ND 58206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

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

Kelly Jean Stauss Carlson Np-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.

PECOS PAC ID749454114

PECOS Enrollment IDI20111121000515

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

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

Altru Health System

0.1 mi

General Acute Care Hospital

1200 S COLUMBIA RD
Grand Forks, ND 58201

Reassigned Medicare billing, Minnesota enrollment
193 clinicians in this Medicare group

NPI 1154346161 (701) 780-5000

Kidney And Hypertension Plc

3.4 mi

Multi-Specialty

5750 S WASHINGTON ST
Grand Forks, ND 58201

Reassigned Medicare billing, North Dakota enrollment
13 clinicians in this Medicare group

NPI 1285742262 (701) 775-5800

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 9

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.

298 services182 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

226 services56 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

119 services87 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

38 services36 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

34 services27 patients

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.

28 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58206 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.

83.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.38

Improvement Activities

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.

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