BENJAMIN CARLSON
NPI 1356572069
Nurse Anesthetist, Certified Registered in Wausau, WI
About Benjamin Carlson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN CARLSON (NPI 1356572069) is an individual nurse anesthetist, certified registered in Wausau, Wisconsin, licensed in Wisconsin (158145030) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Sauk Prairie Hospital, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Benjamin 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.
Medicare Billing Reassignments
2Medicare enrollment records show Benjamin Carlson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Prairie Du Sac, WI 53578
- Reassigned Medicare billing, Wisconsin enrollment
- 15 clinicians in this Medicare group
Madison, WI 53717
- Reassigned Medicare billing, Wisconsin enrollment
- 2 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sauk Prairie Hospital
Acute Care Hospitals · Prairie Du Sac, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WAUSAU, WI 54401
WAUSAU, WI 54401
WAUSAU, WI 54401
WAUSAU, WI 54401
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 Benjamin Carlson's NPI number?
The NPI number for Benjamin Carlson is 1356572069. It was assigned to this individual provider in the NPPES registry on July 29, 2009.
Where is Benjamin Carlson located?
Benjamin Carlson practices at 425 Pine Ridge Blvd Suite 211, Wausau, WI 54401. The listed phone number is (715) 845-5505.
What is Benjamin Carlson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Benjamin Carlson enrolled in Medicare?
Yes. Benjamin 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.
Which organizations bill Medicare for Benjamin Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Carlson reassigns Medicare benefits to 2 organizations: Sauk Prairie Healthcare Inc (Prairie Du Sac, WI) and Drift Away Anesthesia LLC (Madison, WI). 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 Benjamin Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Carlson accept?
Health plans from Group Health Cooperative-SCW list Benjamin 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 Benjamin Carlson affiliated with any hospitals?
According to CMS data, Benjamin Carlson is affiliated with Sauk Prairie Hospital.
When was this NPI record last updated?
The NPPES record for Benjamin Carlson was last updated on July 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.