MARCIA CARLSON APRN-NP
NPI 1790143071
Nurse Practitioner - Psychiatric/Mental Health in Lincoln, NE

Active since February 02, 2016PECOS EnrolledAccepts Medicare Assignment
3901 FAULKNER DR, LINCOLN, NE 68516(402) 875-9270(402) 875-9272 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 25, 2025, Apr 21, 2021, Feb 2, 2016 (3 updates tracked since 2016).

About Marcia Carlson Aprn-np NPPES

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

MARCIA CARLSON APRN-NP (NPI 1790143071) is an individual psychiatric/mental health provider in Lincoln, Nebraska, licensed in Nebraska (111968) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (2015).

NPPES Registry Identity

NPI1790143071
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARCIA CARLSONCredential: APRN-NP
Location Address3901 FAULKNER DRLincoln, NE 68516-4738
Mailing Address3901 Faulkner DrLincoln, NE 68516-4738 · (402) 875-9270 · Fax (402) 875-9272
Fax(402) 875-9272
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2015
Enumeration DateFebruary 2, 2016
Last NPPES UpdateNovember 25, 20253 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1790143071 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 NE · 111968
3901 FAULKNER DR, Lincoln, NE 68516

Accepted 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

Marcia Carlson Aprn-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 ID6103122452
PECOS Enrollment IDI20160311001977
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 Reassignment

Medicare enrollment records show Marcia Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
3901 FAULKNER DR
Lincoln, NE 68516
  • Reassigned Medicare billing, Nebraska enrollment

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

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68516 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Nurse Practitioner (Psychiatric/Mental Health)
3901 FAULKNER DR
LINCOLN, NE 68516
Nurse Practitioner (Psychiatric/Mental Health)
3901 FAULKNER DR
LINCOLN, NE 68516
Social Worker (Clinical)
3901 FAULKNER DR
LINCOLN, NE 68516
Nurse Practitioner (Psychiatric/Mental Health)
3901 FAULKNER DR
LINCOLN, NE 68516
Nurse Practitioner (Psychiatric/Mental Health)
3901 FAULKNER DR
LINCOLN, NE 68516
Counselor (Mental Health)
3901 FAULKNER DR
LINCOLN, NE 68516
Nurse Practitioner (Psychiatric/Mental Health)
3901 FAULKNER DR
LINCOLN, NE 68516
Registered Nurse (Home Health)
3901 FAULKNER DR
LINCOLN, NE 68516

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 Marcia Carlson's NPI number?

The NPI number for Marcia Carlson is 1790143071. It was assigned to this individual provider in the NPPES registry on February 2, 2016.

Where is Marcia Carlson located?

Marcia Carlson practices at 3901 Faulkner Dr, Lincoln, NE 68516. The listed phone number is (402) 875-9270.

What is Marcia Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Marcia Carlson enrolled in Medicare?

Yes. Marcia 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 organization bills Medicare for Marcia Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcia Carlson reassigns Medicare benefits to Carlson Psychiatric Services, P.C. (Lincoln, NE). 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 Marcia Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcia Carlson accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and UnitedHealthcare list Marcia 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.

When was this NPI record last updated?

The NPPES record for Marcia Carlson was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.