ELISA DEN OUTER CARLSON
NPI 1336863927
Nurse Practitioner in Lexington, SC

Active since September 28, 2022PECOS Enrolled
128 LIBRARY HILL LN, LEXINGTON, SC 29072(803) 520-5940 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Elisa Den Outer Carlson NPPES

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

ELISA DEN OUTER CARLSON (NPI 1336863927) is an individual nurse practitioner in Lexington, South Carolina, licensed in South Carolina (27372) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336863927
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELISA DEN OUTER CARLSON
Location Address128 LIBRARY HILL LNLexington, SC 29072-3893
Mailing Address128 Library Hill LnLexington, SC 29072-3893 · (803) 520-5940
Sole ProprietorNo
Enumeration DateSeptember 28, 2022
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1336863927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 27372
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
128 LIBRARY HILL LN, Lexington, SC 29072

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisa Den Outer Carlson 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.

Medicare Billing Reassignments

2

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

Hospice and Palliative Medicine
136 STONEMARK LN STE 100C
Columbia, SC 29210
  • Reassigned Medicare billing, South Carolina enrollment
  • 56 clinicians in this Medicare group
Cardiovascular Disease
1 SAINT FRANCIS DR
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • 389 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29072 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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 Elisa Carlson's NPI number?

The NPI number for Elisa Carlson is 1336863927. It was assigned to this individual provider in the NPPES registry on September 28, 2022.

Where is Elisa Carlson located?

Elisa Carlson practices at 128 Library Hill Ln, Lexington, SC 29072. The listed phone number is (803) 520-5940.

What is Elisa Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elisa Carlson enrolled in Medicare?

Yes. Elisa Carlson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elisa Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisa Carlson reassigns Medicare benefits to 2 organizations: Hospice Care Of South Carolina, LLC (Columbia, SC) and Bon Secours Medical Group Greenville Specialty Care LLC (Greenville, SC). 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 Elisa Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elisa Carlson accept?

Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Elisa 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.

When was this NPI record last updated?

The NPPES record for Elisa Carlson was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.