ANNA GERTRUIDA CARLSON M.D.
NPI 1588003107
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Anna Carlson's NPI number?

The NPI number for Anna Carlson is 1588003107. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Q: What is Anna Carlson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Anna Carlson was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 17, 2013PECOS Enrolled

2516 STOCKTON BLVD., PEDIATRIC RESIDENCY PROGRAM, SACRAMENTO, CA 95817(916) 734-2428 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Anna Gertruida Carlson M.d. NPPES

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

ANNA GERTRUIDA CARLSON M.D. (NPI 1588003107) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588003107

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameANNA GERTRUIDA CARLSONCredential: M.D.

Location Address2516 STOCKTON BLVD., PEDIATRIC RESIDENCY PROGRAMSacramento, CA 95817

Mailing Address2516 Stockton Blvd., Pediatric Residency ProgramSacramento, CA 95817 · (916) 734-2428

Phone(916) 734-2428

Sole ProprietorNo

Enumeration DateJune 17, 2013

Last NPPES UpdateJanuary 14, 2022

NPPES CertifiedJanuary 14, 2022

✔ NPI 1588003107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2516 STOCKTON BLVD., Sacramento, CA 95817

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Gertruida Carlson M.d. 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 Reassignment

Medicare enrollment records show Anna Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

38 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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

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

STEPHANIE TRAM ANH NGUYEN M.D.

Pediatrics (Pediatric Nephrology)

2516 STOCKTON BLVD., U.C. DAVID MEDICAL CENTER
SACRAMENTO, CA 95817

Sacramento County (916) 734-8118

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 Anna Carlson's NPI number?

The NPI number for Anna Carlson is 1588003107. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Where is Anna Carlson located?

Anna Carlson practices at 2516 Stockton Blvd. Pediatric Residency Program, Sacramento, CA 95817. The listed phone number is (916) 734-2428.

What is Anna Carlson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Anna Carlson enrolled in Medicare?

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

Which organization bills Medicare for Anna Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Carlson 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 Anna Carlson'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 Anna Carlson was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.