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MELISSA CARLSON
NPI 1639618523
Nurse Practitioner - Family in San Jose, CA

Active since February 13, 2017PECOS EnrolledAccepts Medicare Assignment
1432 W SAN CARLOS ST, SUITE 10, SAN JOSE, CA 95126(408) 913-1163 Get Directions Write a Review

NPPES record last updated: March 26, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2017, Feb 13, 2017 (2 updates tracked since 2017).

About Melissa Carlson NPPES

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

MELISSA CARLSON (NPI 1639618523) is an individual family provider in San Jose, California, licensed in California (95006038) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639618523
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA CARLSON
Location Address1432 W SAN CARLOS ST, SUITE 10San Jose, CA 95126-3217
Mailing Address326 Spode WaySan Jose, CA 95123-5125 · (408) 568-0547
Phone(408) 913-1163
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 13, 2017
Last NPPES UpdateMarch 26, 20172 updates tracked since enumeration
✔ NPI 1639618523 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 CA · 95006038
1432 W SAN CARLOS ST, San Jose, CA 95126
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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 and accepts Medicare assignment

Melissa 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 ID2668740861
PECOS Enrollment IDI20170612002320
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 Reassignments

5

Medicare enrollment records show Melissa Carlson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Santa Clara
1.1 mi
Federally Qualified Health Center (FQHC)
750 S BASCOM AVE
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1588721500 (California), NPI 1629301346 (California)
  • 2,460 clinicians in this Medicare group
NPI 1972598449 (408) 885-5000
Emergency Physicians Associates San Jose PC
1.3 mi
Emergency Medicine
2105 FOREST AVE
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • 197 clinicians in this Medicare group
NPI 1306311576 (408) 947-2500
Permanente Medical Group Inc
4.6 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000
Nes Western Group, A Professional Corporation
23 mi
Emergency Medicine
27200 CALAROGA AVE
Hayward, CA 94545
  • Reassigned Medicare billing, California enrollment
  • 160 clinicians in this Medicare group
NPI 1588249569 (510) 264-4000
Solano Gateway Medical Group Inc
65 mi
Emergency Medicine
1200 B GALE WILSON BLVD
Fairfield, CA 94533
  • Reassigned Medicare billing, California enrollment
  • 212 clinicians in this Medicare group
NPI 1952344293 (925) 924-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
39 services36 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
30 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95126 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

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 Melissa Carlson's NPI number?

The NPI number for Melissa Carlson is 1639618523. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Where is Melissa Carlson located?

Melissa Carlson practices at 1432 W San Carlos St Suite 10, San Jose, CA 95126. The listed phone number is (408) 913-1163.

What is Melissa Carlson's specialty?

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

Is Melissa Carlson enrolled in Medicare?

Yes. Melissa 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 organizations bill Medicare for Melissa Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Carlson reassigns Medicare benefits to 5 organizations: County Of Santa Clara (San Jose, CA), Emergency Physicians Associates San Jose PC (San Jose, CA), Permanente Medical Group Inc (Santa Clara, CA), Nes Western Group, A Professional Corporation (Hayward, CA) and Solano Gateway Medical Group Inc (Fairfield, CA). Each 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 Melissa 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 Melissa Carlson was last updated on March 26, 2017. 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.