ROSS L CARLSON NP
NPI 1790032977
Nurse Practitioner in Appleton, WI
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
Specialties & Licenses
(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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
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, WIThedacare Medical Center - Shawano
Critical Access Hospitals · Shawano, WIDoor County Medical Center
Critical Access Hospitals · Sturgeon Bay, WIPhysician 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.
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.
APPLETON, WI 54915
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.
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 with the weekly NPPES data releases published by CMS.
