ELIZABETH CARLSON
NPI 1619426111
Nurse Practitioner - Family in Brookings, SD

Active since September 25, 2016PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
922 22ND AVE S, BROOKINGS, SD 57006(605) 697-1900 Get Directions Write a Review

NPPES record last updated: September 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Carlson NPPES

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

ELIZABETH CARLSON (NPI 1619426111) is an individual family provider in Brookings, South Dakota, licensed in South Dakota (CP001134) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Brookings Health System, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619426111
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH CARLSON
Location Address922 22ND AVE SBrookings, SD 57006-2830
Mailing Address114 Se Lake DrEstelline, SD 57234-6603 · (605) 360-6530
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 25, 2016
NPI 1619426111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SD · CP001134
922 22ND AVE S, Brookings, SD 57006

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

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 ID5395026330
PECOS Enrollment IDI20170105000409
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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Brookings Health System

Acute Care Hospitals · Brookings, SD
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number430008
Location300 22nd AveBrookings, SD 57006 · Brookings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57006 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

Other Providers at the Same Location NPPES 19

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

Physician Assistant
922 22ND AVE S
BROOKINGS, SD 57006
Family Medicine
922 22ND AVE S
BROOKINGS, SD 57006
Nurse Practitioner (Family)
922 22ND AVE S
BROOKINGS, SD 57006
Social Worker (Clinical)
922 22ND AVE S
BROOKINGS, SD 57006
Physician Assistant
922 22ND AVE S
BROOKINGS, SD 57006
Nurse Practitioner (Family)
922 22ND AVE S
BROOKINGS, SD 57006
Nurse Practitioner (Family)
922 22ND AVE S
BROOKINGS, SD 57006
Family Medicine
922 22ND AVE S
BROOKINGS, SD 57006

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 Elizabeth Carlson's NPI number?

The NPI number for Elizabeth Carlson is 1619426111. It was assigned to this individual provider in the NPPES registry on September 25, 2016.

Where is Elizabeth Carlson located?

Elizabeth Carlson practices at 922 22nd Ave S, Brookings, SD 57006. The listed phone number is (605) 697-1900.

What is Elizabeth Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elizabeth Carlson enrolled in Medicare?

Yes. Elizabeth 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 Elizabeth Carlson accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Elizabeth 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 Elizabeth Carlson affiliated with any hospitals?

According to CMS data, Elizabeth Carlson is affiliated with Brookings Health System.

When was this NPI record last updated?

The NPPES record for Elizabeth Carlson was last updated on September 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.