DR. MARIE MCDERMOTT CARLSON DNP, FNP-BC
NPI 1750892741
Nurse Practitioner in West Hollywood, CA

Q: What is Marie Carlson's NPI number?

The NPI number for Marie Carlson is 1750892741. It was assigned to this individual provider in the NPPES registry on October 17, 2017.

Q: What is Marie Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: Is Marie Carlson enrolled in Medicare?

No. Marie Carlson has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Marie Carlson was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 17, 2017Opted out of Medicare · through Jul 1, 2027

8550 SANTA MONICA BLVD FL 2, WEST HOLLYWOOD, CA 90069(909) 962-1260 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2023, Apr 8, 2021, Feb 21, 2020 and 2 more (5 updates tracked since 2017).

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About Dr. Marie Mcdermott Carlson Dnp, Fnp-bc NPPES

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

DR. MARIE MCDERMOTT CARLSON DNP, FNP-BC (NPI 1750892741) is an individual nurse practitioner in West Hollywood, California, licensed in Virginia (0024175214) and active in the NPI registry since October 2017. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1750892741

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDR. MARIE MCDERMOTT CARLSONCredential: DNP, FNP-BC

Location Address8550 SANTA MONICA BLVD FL 2West Hollywood, CA 90069-4496

Mailing Address8550 Santa Monica Blvd Fl 2West Hollywood, CA 90069-4496 · (909) 962-1260

Phone(909) 962-1260

Sole ProprietorNo

Enumeration DateOctober 17, 2017

Last NPPES UpdateApril 5, 20235 updates tracked since enumeration

NPPES CertifiedApril 5, 2023

✔ NPI 1750892741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in VA · 0024175214

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License TPAN313 (FL), 47645 (WY), 084907-23 (NH), 68512 (ID), F347968-01 (NY), A168159 (IA), APRN-3283 (HI), 0024175214 (VA)

8550 SANTA MONICA BLVD FL 2, West Hollywood, CA 90069

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Secondary Practice Locations 8

Location 14445 Corporation Ln Ste 259Virginia Beach, VA 23462-3262 · Phone (833) 447-2775

Location 27014 13th Ave Ste 202Brooklyn, NY 11228-1604 · Phone (833) 447-2775

Location 35575 S Semoran Blvd Ste 36Orlando, FL 32822-1782 · Phone (833) 447-2775

Location 41003 Bishop St Ste 2700Honolulu, HI 96813-6475 · Phone (833) 447-2775

Location 51 New Hampshire Ave Ste 125Portsmouth, NH 03801-2907 · Phone (833) 447-2775

Location 61623 Central Ave Ste 18Cheyenne, WY 82001-4531 · Phone (833) 447-2775

Location 7800 W Main St Ste 1460Boise, ID 83702-5983 · Phone (833) 447-2775

Location 88421 University Blvd Ste MDes Moines, IA 50325-1036 · Phone (833) 447-2775

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Marie Mcdermott Carlson Dnp, Fnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2021 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2021

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90069 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

88%115 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

64%168 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

41%186 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

60%89 patients3/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

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$198.85 avg. paid by Medicare

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

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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.

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