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

JACQUELINE CARLSON PMHNP
NPI 1730826538
Nurse Practitioner - Psychiatric/Mental Health in Port Charlotte, 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

3191 HARBOR BLVD STE A, PORT CHARLOTTE, FL 33952(941) 883-4518(941) 883-4518 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, Aug 23, 2024, May 11, 2023 and 1 more (4 updates tracked since 2022).

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About Jacqueline Carlson Pmhnp NPPES

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

JACQUELINE CARLSON PMHNP (NPI 1730826538) is an individual psychiatric/mental health provider in Port Charlotte, Florida, licensed in Florida (APRN11019665) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730826538

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJACQUELINE CARLSONCredential: PMHNP

Location Address3191 HARBOR BLVD STE APort Charlotte, FL 33952-6755

Mailing Address3191 Harbor Blvd Ste APort Charlotte, FL 33952-6755 · (941) 883-4518 · Fax (941) 883-4518

Phone(941) 883-4518

Fax(941) 883-4518

Sole ProprietorNo

Enumeration DateMay 13, 2022

Last NPPES UpdateOctober 16, 20264 updates tracked since enumeration

NPPES CertifiedOctober 16, 2026

✔ 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 · APRN11019665

3191 HARBOR BLVD STE A, Port Charlotte, FL 33952

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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 Pmhnp 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 33952 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 17

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

KAYLA NICOLE POPE PMHNP

Nurse Practitioner (Psychiatric/Mental Health)