STEPHANIE CARLSON NP
NPI 1669191821
Nurse Practitioner - Acute Care in Dayton, OH

Active since August 23, 2022PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
122 WYOMING ST, DAYTON, OH 45409(937) 438-8640 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Stephanie Carlson Np NPPES

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

STEPHANIE CARLSON NP (NPI 1669191821) is an individual acute care provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.0032192) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669191821
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSTEPHANIE CARLSONCredential: NP
Location Address122 WYOMING STDayton, OH 45409-2731
Mailing Address3170 Kettering Blvd Bldg BMoraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1669191821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.0032192
122 WYOMING ST, Dayton, OH 45409

Accepted Insurance

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

Stephanie Carlson Np 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 ID8921483009
PECOS Enrollment IDI20220912000705
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 Reassignment

Medicare enrollment records show Stephanie Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interventional Cardiology
122 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 812 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.

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

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.

Nurse Practitioner (Adult Health)
122 WYOMING ST
DAYTON, OH 45409
Nurse Practitioner (Acute Care)
122 WYOMING ST
DAYTON, OH 45409
Internal Medicine (Cardiovascular Disease)
122 WYOMING ST
DAYTON, OH 45409
Internal Medicine (Cardiovascular Disease)
122 WYOMING ST
DAYTON, OH 45409
Registered Nurse
122 WYOMING ST
DAYTON, OH 45409
Internal Medicine (Cardiovascular Disease)
122 WYOMING ST
DAYTON, OH 45409
Physician Assistant
122 WYOMING ST
DAYTON, OH 45409
Internal Medicine (Cardiovascular Disease)
122 WYOMING ST
DAYTON, OH 45409

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 Stephanie Carlson's NPI number?

The NPI number for Stephanie Carlson is 1669191821. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Where is Stephanie Carlson located?

Stephanie Carlson practices at 122 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 438-8640.

What is Stephanie Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Stephanie Carlson enrolled in Medicare?

Yes. Stephanie 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 organization bills Medicare for Stephanie Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Carlson reassigns Medicare benefits to Premier Health Specialists Inc (Dayton, OH). The 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 Stephanie Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Carlson accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Stephanie 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 Stephanie Carlson affiliated with any hospitals?

According to CMS data, Stephanie Carlson is affiliated with Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Carlson was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.