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CARRIE JANE CARLSON D.O.
NPI 1891723268
Family Medicine in Sioux Falls, SD

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
1200 S 7TH AVE, SIOUX FALLS, SD 57105(605) 504-5400(605) 504-5150 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2026, Aug 1, 2020, Oct 14, 2019 (3 updates tracked since 2019).

About Carrie Jane Carlson D.o. NPPES

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

CARRIE JANE CARLSON D.O. (NPI 1891723268) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (4893) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1998).

NPPES Registry Identity

NPI1891723268
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCARRIE JANE CARLSONCredential: D.O.
Location Address1200 S 7TH AVESioux Falls, SD 57105-0998
Mailing Address1200 S 7th AveSioux Falls, SD 57105-0998 · (605) 504-5400 · Fax (605) 504-5150
Phone(605) 504-5400
Fax(605) 504-5150
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1998
Enumeration DateJune 28, 2006
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1891723268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 4893
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1200 S 7TH AVE, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.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

Carrie Jane Carlson D.o. 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 ID4486541356
PECOS Enrollment IDI20040709000522
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.

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

MICHAEL ELLIOTT M.D.
Pediatrics
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
APRIL MARIE BENINGA DNP, FNP-C
Nurse Practitioner (Family)
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
RICKY KOOIMA M.D.
Pediatrics
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
ZACHARY MICHAEL WEBER MD
Pediatrics
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 504-5400
AVERA MCKENNAN
Clinic/Center (Multi-Specialty)
1200 S 7TH AVE, SUITE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 782-8307
TRICIA KNUTSON M.D.
Family Medicine
1200 S 7TH AVE, SUITE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
MICHAEL STASSEN M.D.
Family Medicine
1200 S 7TH AVE, STE2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
KIMBERLY BARBER
Nurse Practitioner (Family)
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140

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 Carrie Carlson's NPI number?

The NPI number for Carrie Carlson is 1891723268. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Carrie Carlson located?

Carrie Carlson practices at 1200 S 7th Ave, Sioux Falls, SD 57105. The listed phone number is (605) 504-5400.

What is Carrie Carlson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carrie Carlson enrolled in Medicare?

Yes. Carrie 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 Carrie Carlson accept?

Health plans from Avera Health Plans list Carrie 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 Carrie Carlson affiliated with any hospitals?

According to CMS data, Carrie Carlson is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Carrie Carlson was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.