MR. TANNER BO CARLSON PA-C
NPI 1669982740
Physician Assistant - Medical in Globe, AZ

Q: What is Tanner Carlson's NPI number?

The NPI number for Tanner Carlson is 1669982740. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Q: What is Tanner Carlson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Tanner Carlson was last updated on October 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 03, 2017PECOS EnrolledAccepts Medicare Assignment

1100 E MONROE ST STE 101, GLOBE, AZ 85501(928) 425-8200(928) 425-8406 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Tanner Bo Carlson Pa-c NPPES

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

MR. TANNER BO CARLSON PA-C (NPI 1669982740) is an individual medical provider in Globe, Arizona, licensed in Arizona (6896) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1669982740

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. TANNER BO CARLSONCredential: PA-C

Location Address1100 E MONROE ST STE 101Globe, AZ 85501-1304

Mailing AddressPo Box 1641Globe, AZ 85502-1641 · (928) 425-8200 · Fax (928) 425-8406

Phone(928) 425-8200

Fax(928) 425-8406

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 3, 2017

✔ NPI 1669982740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AZ · 6896

1100 E MONROE ST STE 101, Globe, AZ 85501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, 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

Mr. Tanner Bo Carlson Pa-c 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 ID7618235961

PECOS Enrollment IDI20171214003222

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers26 claims66 services$6.63 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers13 claims2,932 services$0.03 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$29.35 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$185.12 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers11 claims11 services$21.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tanner Carlson's NPI number?

The NPI number for Tanner Carlson is 1669982740. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Where is Tanner Carlson located?

Tanner Carlson practices at 1100 E Monroe St Ste 101, Globe, AZ 85501. The listed phone number is (928) 425-8200.

What is Tanner Carlson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tanner Carlson enrolled in Medicare?

Yes. Tanner 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 Tanner Carlson accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Tanner 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.

When was this NPI record last updated?

The NPPES record for Tanner Carlson was last updated on October 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.