KARI CARLSON
NPI 1356770036
Nurse Practitioner in Fargo, ND

Active since November 04, 2013PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
2400 32ND AVE S, FARGO, ND 58103(701) 234-8820 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kari Carlson NPPES

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

KARI CARLSON (NPI 1356770036) is an individual nurse practitioner in Fargo, North Dakota, licensed in North Dakota (R38825) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of University Of Minnesota Medical School (2013).

NPPES Registry Identity

NPI1356770036
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKARI CARLSON
Location Address2400 32ND AVE SFargo, ND 58103-5800
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2013
Enumeration DateNovember 4, 2013
Last NPPES UpdateApril 24, 2024
NPPES CertifiedApril 24, 2024
NPI 1356770036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in ND · R38825 Licensed in MN · 1995
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.
2400 32ND AVE S, Fargo, ND 58103

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kari 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.

PECOS PAC ID9335376482
PECOS Enrollment IDI20131216001589
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.

Areas of Expertise CMS Part B claims 10

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
147 services94 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
119 services56 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
107 services74 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
72 services42 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
46 services41 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
35 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier33 claims33 services$24.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Physician Assistant
2400 32ND AVE S
FARGO, ND 58103
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2400 32ND AVE S
FARGO, ND 58103
Registered Nurse (Diabetes Educator)
2400 32ND AVE S
FARGO, ND 58103
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Obstetrics & Gynecology
2400 32ND AVE S
FARGO, ND 58103
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103

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 Kari Carlson's NPI number?

The NPI number for Kari Carlson is 1356770036. It was assigned to this individual provider in the NPPES registry on November 4, 2013.

Where is Kari Carlson located?

Kari Carlson practices at 2400 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 234-8820.

What is Kari Carlson's specialty?

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

Is Kari Carlson enrolled in Medicare?

Yes. Kari 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.

What insurance does Kari Carlson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Kari 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 Kari Carlson affiliated with any hospitals?

According to CMS data, Kari Carlson is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Kari Carlson was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.