MS. ELLEN CLAIRE CARLSON AGNP
NPI 1649782269
Nurse Practitioner - Gerontology in Saint Louis, MO

Q: What is Ellen Carlson's NPI number?

The NPI number for Ellen Carlson is 1649782269. It was assigned to this individual provider in the NPPES registry on November 5, 2017.

Q: What is Ellen Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Carlson was last updated on January 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 05, 2017PECOS EnrolledAccepts Medicare Assignment

625 S NEW BALLAS RD STE 2015, SAINT LOUIS, MO 63141(314) 251-1700 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 30, 2023, Nov 15, 2021, Nov 12, 2021 and 2 more (5 updates tracked since 2017).

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About Ms. Ellen Claire Carlson Agnp NPPES

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

MS. ELLEN CLAIRE CARLSON AGNP (NPI 1649782269) is an individual gerontology provider in Saint Louis, Missouri, licensed in Missouri (2017038788) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649782269

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMS. ELLEN CLAIRE CARLSONCredential: AGNP

Location Address625 S NEW BALLAS RD STE 2015Saint Louis, MO 63141-8253

Mailing Address625 S New Ballas Rd Ste 2015Saint Louis, MO 63141-8253 · (314) 251-1700

Phone(314) 251-1700

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 5, 2017

Last NPPES UpdateJanuary 30, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2023

✔ NPI 1649782269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MO · 2017038788

625 S NEW BALLAS RD STE 2015, Saint Louis, MO 63141

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Other Identifiers 1

Medicaid420049783MO

Accepted Insurance

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

Ms. Ellen Claire Carlson Agnp 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 ID1658630868

PECOS Enrollment IDI20180116001917

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.

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260020

Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

Other Providers at the Same Location NPPES 15

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

DR. TYSON E TURNER MD

Internal Medicine (Cardiovascular Disease)