NANCY J. CARLSON MD
NPI 1326158502
Obstetrics & Gynecology - Maternal & Fetal Medicine in Rockford, IL

Q: What is Nancy Carlson's NPI number?

The NPI number for Nancy Carlson is 1326158502. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Nancy Carlson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Carlson was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 30, 2006PECOS Enrolled

84.88/100

CMS Quality Rating

2400 N ROCKTON AVE, ROCKFORD, IL 61103(815) 971-5000 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2020, Jan 14, 2016 (2 updates tracked since 2016).

On this page

About Nancy J. Carlson Md NPPES

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

NANCY J. CARLSON MD (NPI 1326158502) is an individual maternal & fetal medicine provider in Rockford, Illinois, licensed in Illinois (036-067902) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1326158502

Entity TypeIndividualFemale

Primary Taxonomy207VM0101X

Provider Legal NameNANCY J. CARLSONCredential: MD

Location Address2400 N ROCKTON AVERockford, IL 61103-3655

Mailing Address2400 N Rockton AveRockford, IL 61103-3655 · (815) 971-5000

Phone(815) 971-5000

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateOctober 12, 20202 updates tracked since enumeration

NPPES CertifiedOctober 12, 2020

✔ NPI 1326158502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

Licenses✔ Licensed in IL · 036-067902✔ Licensed in IL · 336.032045✔ Licensed in MI · 4301076946✔ Licensed in NM · MD2016-0001✔ Licensed in NM · CS00222637

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

2400 N ROCKTON AVE, Rockford, IL 61103

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Secondary Practice Location 1

Location 1601 John St Ste N1100Kalamazoo, MI 49007-5349 · Phone (269) 341-7887

Other Identifiers 1

Medicaid036067902IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy J. Carlson Md 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 61103 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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.

84.88/100

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

Scored as part of a group practice

Quality

81.29

Promoting Interoperability

100

Improvement Activities

Cost

68.32

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.

KIMBERLY REMEDIOS-SMITH M.D.

Pediatrics (Neonatal-Perinatal Medicine)