TAMMY L CARLSON APRN
NPI 1649977786
Nurse Practitioner in Rockford, IL

Active since February 09, 2023PECOS EnrolledAccepts Medicare Assignment
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 398-9491(815) 381-7498 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2023, Feb 9, 2023 (2 updates tracked since 2023).

About Tammy L Carlson Aprn NPPES

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

TAMMY L CARLSON APRN (NPI 1649977786) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209027060) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1649977786
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTAMMY L CARLSONCredential: APRN
Location Address5875 E RIVERSIDE BLVDRockford, IL 61114-4937
Mailing AddressPo Box 735263Chicago, IL 60673-5263
Fax(815) 381-7498
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 9, 2023
Last NPPES UpdateAugust 3, 20232 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
NPI 1649977786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in IL · 209027060 Licensed in IL · 041480256
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5875 E RIVERSIDE BLVD, Rockford, IL 61114

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

Tammy L Carlson Aprn 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 ID5092170233
PECOS Enrollment IDI20230515000038
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 12

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
4,400 services63 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
848 services68 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
312 services102 patients
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.
92 services81 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
86 services82 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
54 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Nurse Practitioner
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Podiatrist (Foot & Ankle Surgery)
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Nurse Practitioner
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Physical Medicine & Rehabilitation
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Anesthesiology (Pain Medicine)
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114

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 Tammy Carlson's NPI number?

The NPI number for Tammy Carlson is 1649977786. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Tammy Carlson located?

Tammy Carlson practices at 5875 E Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 398-9491.

What is Tammy Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tammy Carlson enrolled in Medicare?

Yes. Tammy 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 Tammy Carlson accept?

Health plans from Quartz list Tammy 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 Tammy Carlson affiliated with any hospitals?

According to CMS data, Tammy Carlson is affiliated with Uw Health and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Tammy Carlson was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.