Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE LYNN CARLSON MD
NPI 1912987124
Obstetrics & Gynecology in Warren, OH

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
667 EASTLAND AVE SE FL 2, WARREN, OH 44484(330) 841-4579(330) 841-4920 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2022, Aug 10, 2021, Apr 16, 2021 and 3 more (6 updates tracked since 2016).

About Nicole Lynn Carlson Md NPPES

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

NICOLE LYNN CARLSON MD (NPI 1912987124) is an individual obstetrics & gynecology provider in Warren, Ohio, licensed in Ohio (35.154697) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Pennsylvania State University College Of Medicine (1999).

NPPES Registry Identity

NPI1912987124
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNICOLE LYNN CARLSONCredential: MD
Location Address667 EASTLAND AVE SE FL 2Warren, OH 44484-4503
Mailing Address667 Eastland Ave Se Fl 2Warren, OH 44484-4503 · (330) 841-4579 · Fax (330) 841-4920
Fax(330) 841-4920
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1999
Enumeration DateJanuary 23, 2006
Last NPPES UpdateJune 29, 20266 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
NPI 1912987124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in OH · 35.154697 Licensed in PA · MD430168 Licensed in WV · 28269 Licensed in MD · D0056758
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
667 EASTLAND AVE SE FL 2, Warren, OH 44484

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

Nicole Lynn Carlson Md 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 ID9739288440
PECOS Enrollment IDI20070621000101
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services19 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44484 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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 Nicole Carlson's NPI number?

The NPI number for Nicole Carlson is 1912987124. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Nicole Carlson located?

Nicole Carlson practices at 667 Eastland Ave SE Fl 2, Warren, OH 44484. The listed phone number is (330) 841-4579.

What is Nicole Carlson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nicole Carlson enrolled in Medicare?

Yes. Nicole 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.

Is Nicole Carlson affiliated with any hospitals?

According to CMS data, Nicole Carlson is affiliated with Upmc Jameson, Butler Memorial Hospital, Grove City Medical Center and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Carlson was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.