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MS. WENDY MARIE CARLSON PMHNP-BC
NPI 1891158564
Nurse Practitioner - Psychiatric/Mental Health in Berkley, MA

Active since March 31, 2016PECOS Enrolled
21 SHORE RD, BERKLEY, MA 02779(774) 501-1440(508) 967-7304 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2020, Oct 15, 2018, Jun 27, 2018 and 2 more (5 updates tracked since 2016).

About Ms. Wendy Marie Carlson Pmhnp-bc NPPES

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

MS. WENDY MARIE CARLSON PMHNP-BC (NPI 1891158564) is an individual psychiatric/mental health provider in Berkley, Massachusetts, licensed in Massachusetts (RN230033) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1891158564
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. WENDY MARIE CARLSONCredential: PMHNP-BC
Location Address21 SHORE RDBerkley, MA 02779-2324
Mailing Address21 Shore RdBerkley, MA 02779-2324 · (774) 501-1440 · Fax (508) 967-7304
Phone(774) 501-1440
Fax(508) 967-7304
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateAugust 14, 20205 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
✔ NPI 1891158564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MA · RN230033✔ Licensed in RI · APRN01440
Also ListedRegistered NurseTaxonomy 163W00000X · License 230033 (MA), 48702 (RI)
21 SHORE RD, Berkley, MA 02779
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Other Names 1

Former Name (1)Ms. Wendy Marie Nichols Rn

Other Identifiers 4

OtherAPRN01440RI · Aprn
OtherRN230033MA · Aprn
OtherMC4398120MA · Controlled Substance Registration
MedicaidS400325789MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Wendy Marie Carlson Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678860772
PECOS Enrollment IDI20160916001316
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.

Areas of Expertise CMS Part B claims 2

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.
75 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02779 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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 Wendy Carlson's NPI number?

The NPI number for Wendy Carlson is 1891158564. It was assigned to this individual provider in the NPPES registry on March 31, 2016. The provider is also known as Ms. Wendy Marie Nichols Rn.

Where is Wendy Carlson located?

Wendy Carlson practices at 21 Shore Rd, Berkley, MA 02779. The listed phone number is (774) 501-1440.

What is Wendy Carlson's specialty?

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

Is Wendy Carlson enrolled in Medicare?

Yes. Wendy Carlson is registered in the Medicare PECOS enrollment system.

What insurance does Wendy Carlson accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Wendy 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 Wendy Carlson was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.