ALMA ELIZABETH TOVAR CARREON NURSE PRACTITIONER
NPI 1659168755
Nurse Practitioner - Family in Sheboygan Falls, WI
About Alma Elizabeth Tovar Carreon Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALMA ELIZABETH TOVAR CARREON NURSE PRACTITIONER (NPI 1659168755) is an individual family provider in Sheboygan Falls, Wisconsin, licensed in Wisconsin (F04250407) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alma Elizabeth Tovar Carreon Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Alma Tovar Carreon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sheboygan Falls, WI 53085
- Reassigned Medicare billing, Wisconsin enrollment
- 5 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 46 clinicians in this Medicare group
Green Bay, WI 54311
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Altea Medical Wisconsin Sc
- 24 clinicians in this Medicare group
Lanham, MD 20706
- Reassigned Medicare billing, Wisconsin enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Alma Tovar Carreon's NPI number?
The NPI number for Alma Tovar Carreon is 1659168755. It was assigned to this individual provider in the NPPES registry on April 22, 2025.
Where is Alma Tovar Carreon located?
Alma Tovar Carreon practices at W2850 Wi-28, Sheboygan Falls, WI 53085. The listed phone number is (920) 467-1800.
What is Alma Tovar Carreon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alma Tovar Carreon enrolled in Medicare?
Yes. Alma Tovar Carreon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alma Tovar Carreon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alma Tovar Carreon reassigns Medicare benefits to 4 organizations: Sharon S. Richardson Hospice Home, Inc (Sheboygan Falls, WI), Lakeshore Community Health Care, Inc (Sheboygan, WI), Altea Medical Wisconsin S.C. (Green Bay, WI) and Post Acute Medical PLLC (Lanham, MD). 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 Alma Tovar Carreon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alma Tovar Carreon accept?
Health plans from Dean Health Plan, Network Health and Quartz list Alma Tovar Carreon 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 Alma Tovar Carreon was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Alma Elizabeth Tovar Carreon, NURSE PRACTITIONER · NPI 1659168755
Family physician in Sheboygan Falls, Wisconsin. Individual provider, active in the CMS NPPES registry since April 22, 2025.
## Identity
- **NPI:** 1659168755 (Entity type: Individual)
- **Enumerated:** April 22, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F04250407 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** W2850 WI-28, Sheboygan Falls, WI 53085
- **Phone:** (920) 467-1800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sharon S. Richardson Hospice Home, Inc (NPI 1598855207, Sheboygan Falls, WI); Lakeshore Community Health Care, Inc (NPI 1144698549, Sheboygan, WI); Altea Medical Wisconsin S.C. (NPI 1265320949, Green Bay, WI); Post Acute Medical PLLC (NPI 1730713025, Lanham, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 9, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1659168755) · Data from the CMS NPPES public registry.