MS. JENNIFER CARLSEN MS
NPI 1417089780
Counselor - Professional in Modesto, CA
About Ms. Jennifer Carlsen Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JENNIFER CARLSEN MS (NPI 1417089780) is an individual professional provider in Modesto, California, licensed in California (50090) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jennifer Carlsen Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Carlsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
MODESTO, CA 95350
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 Jennifer Carlsen's NPI number?
The NPI number for Jennifer Carlsen is 1417089780. It was assigned to this individual provider in the NPPES registry on March 12, 2007.
Where is Jennifer Carlsen located?
Jennifer Carlsen practices at 800 Scenic Dr, Modesto, CA 95350. The listed phone number is (209) 525-6225.
What is Jennifer Carlsen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jennifer Carlsen enrolled in Medicare?
Yes. Jennifer Carlsen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Carlsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Carlsen reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Jennifer Carlsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Carlsen was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Ms. Jennifer Carlsen, MS · NPI 1417089780
Professional provider in Modesto, California. Individual provider, active in the CMS NPPES registry since March 12, 2007.
## Identity
- **NPI:** 1417089780 (Entity type: Individual)
- **Enumerated:** March 12, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 50090 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 800 SCENIC DR, Modesto, CA 95350-6131
- **Phone:** (209) 525-6225
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1417089780) · Data from the CMS NPPES public registry.