AMANDA LYN CARLSON DNP, APRN, FNP-C
NPI 1306460647
Nurse Practitioner - Family in Bend, OR

Q: What is Amanda Carlson's NPI number?

The NPI number for Amanda Carlson is 1306460647. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Q: What is Amanda Carlson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Carlson was last updated on November 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 02, 2020PECOS Enrolled

1340 NW WALL ST, BEND, OR 97703(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2023, Jun 19, 2023, Dec 19, 2022 and 2 more (5 updates tracked since 2020).

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About Amanda Lyn Carlson Dnp, Aprn, Fnp-c NPPES

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

AMANDA LYN CARLSON DNP, APRN, FNP-C (NPI 1306460647) is an individual family provider in Bend, Oregon, licensed in Oregon (202109536NP-PP) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306460647

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA LYN CARLSONCredential: DNP, APRN, FNP-C

Location Address1340 NW WALL STBend, OR 97703-1985

Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 322-7500 · Fax (541) 322-7565

Phone(541) 322-7500

Fax(541) 322-7565

Sole ProprietorNo

Enumeration DateJune 2, 2020

Last NPPES UpdateNovember 28, 20235 updates tracked since enumeration

NPPES CertifiedNovember 28, 2023

✔ NPI 1306460647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 202109536NP-PP

Also ListedRegistered NurseTaxonomy 163W00000X · License 10286389-3102 (UT)

1340 NW WALL ST, Bend, OR 97703

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Secondary Practice Locations 2

Location 1354 W Adams AveSisters, OR 97759-2619 · Phone (541) 549-9609 · Fax (541) 278-8349

Location 23461 Cedar DrPark City, UT 84098-5499 · Phone (320) 250-8916

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Lyn Carlson Dnp, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 97703 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.

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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.

MRS. HEATHER KRISTINE WELKER O.T.

Occupational Therapist