DR. CYNTHIA ANN CARLSON MD
NPI 1790862084
Family Medicine in Vancouver, WA
About Dr. Cynthia Ann Carlson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CYNTHIA ANN CARLSON MD (NPI 1790862084) is an individual family medicine provider in Vancouver, Washington, licensed in Washington (MD00028868) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Cynthia Ann Carlson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Cynthia Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vancouver, WA 98686
- Reassigned Medicare billing, Washington and Oregon enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1093043424 (Oregon)
- 2,534 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 98686 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.
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 Cynthia Carlson's NPI number?
The NPI number for Cynthia Carlson is 1790862084. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is Cynthia Carlson located?
Cynthia Carlson practices at 14406 NE 20th Ave, Vancouver, WA 98686. The listed phone number is (360) 418-6001.
What is Cynthia Carlson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cynthia Carlson enrolled in Medicare?
Yes. Cynthia Carlson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Cynthia Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Carlson reassigns Medicare benefits to Manor Care Of Salmon Creek Wa, Association (Vancouver, WA). 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 Cynthia 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 Cynthia Carlson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Cynthia Ann Carlson, MD · NPI 1790862084
Family Medicine physician in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1790862084 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD00028868 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 14406 NE 20TH AVE, Vancouver, WA 98686-1448
- **Phone:** (360) 418-6001
## 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:** Manor Care Of Salmon Creek Wa, Association (NPI 1609171081, Vancouver, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified AB15512 (WA); Medicare UPIN F51908 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1790862084) · Data from the CMS NPPES public registry.