MS. STACY MARIE CARLSON RD
NPI 1598528366
Dietitian, Registered in San Diego, CA
About Ms. Stacy Marie Carlson Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. STACY MARIE CARLSON RD (NPI 1598528366) is an individual dietitian, registered in San Diego, California, licensed in California (86075087) and active in the NPI registry since February 2024. She maintains a secondary practice location in La Jolla and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Ms. Stacy Marie Carlson Rd 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 Reassignment
Medicare enrollment records show Stacy Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Regents Of The University Of California
- 1,051 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92103 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.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Stacy Carlson's NPI number?
The NPI number for Stacy Carlson is 1598528366. It was assigned to this individual provider in the NPPES registry on February 5, 2024.
Where is Stacy Carlson located?
Stacy Carlson practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.
What is Stacy Carlson's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Stacy Carlson enrolled in Medicare?
Yes. Stacy 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 organization bills Medicare for Stacy Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Carlson reassigns Medicare benefits to Regents Of The University Of California - Ucsd Medical Group (San Diego, 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 Stacy 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 Stacy Carlson was last updated on February 7, 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.
# Ms. Stacy Marie Carlson, RD · NPI 1598528366
Dietitian, Registered provider in San Diego, California. Individual provider, active in the CMS NPPES registry since February 5, 2024.
## Identity
- **NPI:** 1598528366 (Entity type: Individual)
- **Enumerated:** February 5, 2024
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 86075087 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 W ARBOR DR, San Diego, CA 92103-9000
- **Phone:** (800) 926-8273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Regents Of The University Of California - Ucsd Medical Group (NPI 1336267137, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 7, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1598528366) · Data from the CMS NPPES public registry.