JACQUELINE CARLSON NP
NPI 1730826538
Nurse Practitioner - Psychiatric/Mental Health in Fort Myers, FL

Q: What is Jacqueline Carlson's NPI number?

The NPI number for Jacqueline Carlson is 1730826538. It was assigned to this individual provider in the NPPES registry on May 13, 2022.

Q: What is Jacqueline Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since May 13, 2022PECOS Enrolled

8570 GRANITE CT STE 101, FORT MYERS, FL 33908(833) 769-3524 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2024, May 11, 2023, May 13, 2022 (3 updates tracked since 2022).

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About Jacqueline Carlson Np NPPES

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

JACQUELINE CARLSON NP (NPI 1730826538) is an individual psychiatric/mental health provider in Fort Myers, Florida, licensed in Florida (11019665) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Port Charlotte.

NPPES Registry Identity

NPI1730826538

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJACQUELINE CARLSONCredential: NP

Location Address8570 GRANITE CT STE 101Fort Myers, FL 33908-4240

Mailing Address23043 Olean BlvdPort Charlotte, FL 33952-7120 · (941) 661-6199

Phone(833) 769-3524

Sole ProprietorNo

Enumeration DateMay 13, 2022

Last NPPES UpdateAugust 23, 20243 updates tracked since enumeration

NPPES CertifiedJuly 30, 2024

✔ NPI 1730826538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · 11019665

8570 GRANITE CT STE 101, Fort Myers, FL 33908

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Secondary Practice Location 1

Location 123043 Olean BlvdPort Charlotte, FL 33952-7120 · Phone (941) 661-6199

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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)

Jacqueline Carlson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33908 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDITH JEAN PMHNP

Nurse Practitioner (Psychiatric/Mental Health)