STACY ELIZABETH CARLSON
NPI 1568085124
Nurse Practitioner - Primary Care in Charlotte, NC

Q: What is Stacy Carlson's NPI number?

The NPI number for Stacy Carlson is 1568085124. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Q: What is Stacy Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Carlson was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 May 18, 2020PECOS EnrolledAccepts Medicare Assignment

10620 PARK RD STE 202, CHARLOTTE, NC 28210(844) 235-6999 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2025, May 18, 2020 (2 updates tracked since 2020).

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About Stacy Elizabeth Carlson NPPES

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

STACY ELIZABETH CARLSON (NPI 1568085124) is an individual primary care provider in Charlotte, North Carolina, licensed in North Carolina (5016676) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Johnston Health, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1568085124

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameSTACY ELIZABETH CARLSON

Location Address10620 PARK RD STE 202Charlotte, NC 28210-0106

Mailing Address325 Old Stancil RdKenly, NC 27542-5011

Phone(844) 235-6999

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 18, 2020

Last NPPES UpdateJune 4, 20252 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1568085124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NC · 5016676

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10620 PARK RD STE 202, Charlotte, NC 28210

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Secondary Practice Location 1

Location 1600 Moye BlvdGreenville, NC 27834-4300 · Phone (252) 744-6478

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Stacy Elizabeth 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 ID1951778729

PECOS Enrollment IDI20221108001071

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.

Hospital Affiliations CMS Care Compare 2

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

Johnston Health

Acute Care Hospitals · Smithfield, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340090

Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINAS PHYSICIANS NETWORK INC

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