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MADELINE GRACE CARLSON
NPI 1629700968
Physician Assistant in Duluth, MN

Active since June 27, 2022PECOS EnrolledAccepts Medicare Assignment
1200 KENWOOD AVE, DULUTH, MN 55811(218) 723-6289 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madeline Grace Carlson NPPES

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

MADELINE GRACE CARLSON (NPI 1629700968) is an individual physician assistant in Duluth, Minnesota and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629700968
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADELINE GRACE CARLSON
Location Address1200 KENWOOD AVEDuluth, MN 55811-4199
Mailing Address1200 Kenwood AveDuluth, MN 55811-4199 · (218) 723-6289
Phone(218) 723-6289
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1629700968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1200 KENWOOD AVE, Duluth, MN 55811
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Madeline Grace 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 ID8022454966
PECOS Enrollment IDI20240313003068
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55811 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 20

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

TEMBER RAE COOPER
Student in an Organized Health Care Education/Training Program
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (320) 295-0146
CANDACE WASNER
Student in an Organized Health Care Education/Training Program
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (218) 723-6046
TIANA MARI FORBES MSW
Student in an Organized Health Care Education/Training Program
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (218) 723-6046
DR. HAL STROUGH ATR, ATC
Specialist/Technologist (Athletic Trainer)
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (218) 723-6798
CECELIA BARNES
Specialist/Technologist (Athletic Trainer)
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (218) 723-5960
RICHARD BENJAMIN CHIPMAN
Registered Nurse (Psychiatric/Mental Health)
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (310) 701-2762
KIMBERLY ANN ANDERSON
Student in an Organized Health Care Education/Training Program
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (218) 625-4408
MS. VICKI L. ANDREWS CFNP
Nurse Practitioner (Family)
1200 KENWOOD AVE
DULUTH, MN 55811
St. Louis County (218) 723-6282

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 Madeline Carlson's NPI number?

The NPI number for Madeline Carlson is 1629700968. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Madeline Carlson located?

Madeline Carlson practices at 1200 Kenwood Ave, Duluth, MN 55811. The listed phone number is (218) 723-6289.

What is Madeline Carlson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madeline Carlson enrolled in Medicare?

Yes. Madeline 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 Madeline Carlson accept?

Health plans from HealthPartners and Medica list Madeline 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.

When was this NPI record last updated?

The NPPES record for Madeline Carlson was last updated on June 27, 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.