Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALMA ELIZABETH TOVAR CARREON NURSE PRACTITIONER
NPI 1659168755
Nurse Practitioner - Family in Sheboygan Falls, WI

Active since April 22, 2025PECOS Enrolled
W2850 WI-28, SHEBOYGAN FALLS, WI 53085(920) 467-1800 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1659168755
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALMA ELIZABETH TOVAR CARREONCredential: NURSE PRACTITIONER
Location AddressW2850 WI-28Sheboygan Falls, WI 53085
Mailing Address1721 Saemann AveSheboygan, WI 53081-2342 · (920) 783-6633
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 22, 2025
Last NPPES UpdateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
NPI 1659168755 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 WI · F04250407
W2850 WI-28, Sheboygan Falls, WI 53085

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 (PECOS)

Alma Elizabeth Tovar Carreon Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557869088
PECOS Enrollment IDI20250814000293
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 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 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.

What insurance does Alma Tovar Carreon accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), 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 33 days 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.