ROSS L CARLSON NP
NPI 1790032977
Nurse Practitioner in Appleton, WI

Q: What is Ross Carlson's NPI number?

The NPI number for Ross Carlson is 1790032977. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Q: What is Ross Carlson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ross Carlson was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 07, 2012PECOS EnrolledAccepts Medicare Assignment

1506 S ONEIDA ST, HEART, LUNG & VASCULAR CENTER, APPLETON, WI 54915(920) 730-6700 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ross L Carlson Np NPPES

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

ROSS L CARLSON NP (NPI 1790032977) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (151971) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1790032977

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameROSS L CARLSONCredential: NP

Location Address1506 S ONEIDA ST, HEART, LUNG & VASCULAR CENTERAppleton, WI 54915-1305

Mailing Address1506 S Oneida St, Heart, Lung & Vascular CenterAppleton, WI 54915-1305 · (920) 730-6700

Phone(920) 730-6700

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 7, 2012

✔ NPI 1790032977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 151971

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.

1506 S ONEIDA ST, Appleton, WI 54915

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ross L Carlson Np 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 ID6305094368

PECOS Enrollment IDI20120917000359

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.

Medicare Billing Reassignments

Medicare enrollment records show Ross Carlson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Neuroscience Group Of Northeast Wisconsin Sc

4.4 mi

Neurological Surgery

1305 W. AMERICAN DRIVE
Neenah, WI 54956

Reassigned Medicare billing, Wisconsin enrollment
82 clinicians in this Medicare group

NPI 1578516803 (800) 201-1194

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis

22 mi

General Practice

2710 EXECUTIVE DR
Green Bay, WI 54304

Reassigned Medicare billing, Wisconsin enrollment
742 clinicians in this Medicare group

NPI 1285613638 (920) 433-8287

St. Nicholas Hospital-Sisters Of The Third Order Of St Francis

47 mi

Internal Medicine

3113 SAEMANN AVE
Sheboygan, WI 53081

Reassigned Medicare billing, Wisconsin enrollment
673 clinicians in this Medicare group

NPI 1275799413 (920) 496-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 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.

31 services26 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.

29 services29 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

19 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

15 services14 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521346

Location100 County Rd BShawano, WI 54166 · Shawano County

Emergency services Birthing friendly

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521358

Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

FOX VALLEY NEONATOLOGY SC

Pediatrics (Neonatal-Perinatal Medicine)

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 738-2000

ANNA QUELLA RD, LD, MS

Dietitian, Registered

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 831-1602

ASCENSION NE WISCONSIN, INC

Skilled Nursing Facility

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 720-1464

KAYLA MARIE LETTERMAN DPT

Physical Therapist

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 738-2681

BESSANT A PARKER MD

Hospitalist

1506 S ONEIDA ST, HOSPITAL SERVICE DEPARTMENT
APPLETON, WI 54915

Calumet County (920) 738-2000

DR. JOSEPH DOMINIC CHABOT D.O.

Neurological Surgery

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 738-2000

PANKAJ JAIN

Pediatrics (Neonatal-Perinatal Medicine)

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 730-7670

SAMUEL A. SOUTHARD CRNA

Nurse Anesthetist, Certified Registered

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 738-2000

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 Ross Carlson's NPI number?

The NPI number for Ross Carlson is 1790032977. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Where is Ross Carlson located?

Ross Carlson practices at 1506 S Oneida St Heart, Lung & Vascular Center, Appleton, WI 54915. The listed phone number is (920) 730-6700.

What is Ross Carlson's specialty?

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

Is Ross Carlson enrolled in Medicare?

Yes. Ross Carlson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ross Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ross Carlson reassigns Medicare benefits to 3 organizations: The Neuroscience Group Of Northeast Wisconsin Sc (Neenah, WI), St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). Each 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 Ross Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ross Carlson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Ross Carlson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ross Carlson affiliated with any hospitals?

According to CMS data, Ross Carlson is affiliated with Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center - Shawano and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Ross Carlson was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.