CAROLINE BERRY CARLSON PA-C
NPI 1700234655
Physician Assistant - Medical in Salt Lake City, UT

Q: What is Caroline Carlson's NPI number?

The NPI number for Caroline Carlson is 1700234655. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Q: What is Caroline 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 Caroline Carlson was last updated on November 11, 2021. 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.

Active since June 01, 2016PECOS EnrolledAccepts Medicare Assignment

95.7/100

CMS Quality Rating

1525 W 2100 S, SALT LAKE CITY, UT 84119(801) 213-9900 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2021, Sep 16, 2021 (2 updates tracked since 2021).

On this page

About Caroline Berry Carlson Pa-c NPPES

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

CAROLINE BERRY CARLSON PA-C (NPI 1700234655) is an individual medical provider in Salt Lake City, Utah, licensed in Utah (9757712-1206) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Utah School Of Medicine (2015).

NPPES Registry Identity

NPI1700234655

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCAROLINE BERRY CARLSONCredential: PA-C

Location Address1525 W 2100 SSalt Lake City, UT 84119-1407

Mailing Address3219 E Bell Oaks CirSandy, UT 84092-4255

Phone(801) 213-9900

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2015

Enumeration DateJune 1, 2016

Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration

NPPES CertifiedNovember 11, 2021

✔ NPI 1700234655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363AM0700X

License✔ Licensed in UT · 9757712-1206

Also ListedPhysician AssistantTaxonomy 363A00000X · License 9757712-1206 (UT)

1525 W 2100 S, Salt Lake City, UT 84119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health.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

Caroline Berry 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 ID648567818

PECOS Enrollment IDI20161003001611

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

82 services79 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.

33 services33 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

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.

95.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.19

Promoting Interoperability

100

Improvement Activities

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.

CYNTHIA M MATHEWSON MD

Family Medicine