HOLLY ANNE CARLSON NP
NPI 1770204000
Nurse Practitioner - Pediatrics, Critical Care in New York, NY
About Holly Anne Carlson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY ANNE CARLSON NP (NPI 1770204000) is an individual pediatrics, critical care provider in New York, New York, licensed in New York (432424) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly Anne Carlson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Holly Carlson's NPI number?
The NPI number for Holly Carlson is 1770204000. It was assigned to this individual provider in the NPPES registry on September 6, 2022. The provider is also known as Holly Anne Grosso.
Where is Holly Carlson located?
Holly Carlson practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 263-7300.
What is Holly Carlson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.
Is Holly Carlson enrolled in Medicare?
Yes. Holly Carlson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Holly Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Carlson reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Holly Carlson was last updated on September 6, 2022. 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.
# Holly Anne Carlson, NP · NPI 1770204000
Pediatrics, Critical Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since September 6, 2022.
## Identity
- **NPI:** 1770204000 (Entity type: Individual)
- **Enumerated:** September 6, 2022
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** 432424 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 1ST AVE, New York, NY 10016-6402
- **Phone:** (212) 263-7300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1770204000) · Data from the CMS NPPES public registry.