1. Home
  2. Directory
  3. Pennsylvania
  4. Erie
  5. Dietitian Registered
  6. NPI Profile

JACQUELINE CARLSON RD CDE
NPI 1942291935
Dietitian, Registered - Nutrition, Metabolic in Erie, PA

Active since October 31, 2005Accepts Medicare Assignment
93.78/100
CMS Quality Rating
145 W 23RD ST, ERIE, PA 16502(814) 835-2626(814) 835-2646 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2022, Jul 8, 2021, Apr 12, 2019 (3 updates tracked since 2019).

About Jacqueline Carlson Rd Cde NPPES

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

JACQUELINE CARLSON RD CDE (NPI 1942291935) is an individual nutrition, metabolic provider in Erie, Pennsylvania, licensed in Pennsylvania (DN006773) and active in the NPI registry since October 2005. She is a graduate of Other (1984).

NPPES Registry Identity

NPI1942291935
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameJACQUELINE CARLSONCredential: RD CDE
Location Address145 W 23RD STErie, PA 16502-2858
Mailing Address145 W 23rd St Ste 202Erie, PA 16502-2858 · (814) 835-2626 · Fax (814) 835-2646
Phone(814) 835-2626
Fax(814) 835-2646
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 31, 2005
Last NPPES UpdateAugust 15, 20223 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1942291935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
Licenses✔ Licensed in PA · DN006773✔ Licensed in NY · 000806
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
145 W 23RD ST, Erie, PA 16502
Open in Google Maps ↗

Other Identifiers 2

Other005261701NY · Blue Cross
Other051101000071NY · Fidelis

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

Jacqueline Carlson Rd Cde 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 ID9931196540
PECOS Enrollment IDI20190507001423

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.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
70 services22 patients

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

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Psychologist
145 W 23RD ST, SUITE 202
ERIE, PA 16502
Erie County (814) 454-4885
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Surgery (Surgical Oncology)
145 W 23RD ST, SUITE 202
ERIE, PA 16502
Erie County (814) 451-8008
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Surgery
145 W 23RD ST, SUITE 303
ERIE, PA 16502
Erie County (814) 452-7800
ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Colon & Rectal Surgery
145 W 23RD ST, SUITE 201
ERIE, PA 16502
Erie County (814) 453-2777
MRS. KATHLEEN ANN SCUTELLA CRNP
Nurse Practitioner (Family)
145 W 23RD ST, SUITE 303
ERIE, PA 16502
Erie County (814) 452-7800
DR. CHRISTINA M DONATH MD
Internal Medicine (Rheumatology)
145 W 23RD ST
ERIE, PA 16502
Erie County (814) 452-7926
JASON D CRILLEY DPM
Podiatrist
145 W 23RD ST, SUITE 302A
ERIE, PA 16502
Erie County (814) 835-3751
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Dietitian, Registered (Nutrition, Metabolic)
145 W 23RD ST, SUITE 302A
ERIE, PA 16502
Erie County (814) 452-7354

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 Jacqueline Carlson's NPI number?

The NPI number for Jacqueline Carlson is 1942291935. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Jacqueline Carlson located?

Jacqueline Carlson practices at 145 W 23rd St, Erie, PA 16502. The listed phone number is (814) 835-2626.

What is Jacqueline Carlson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Is Jacqueline Carlson enrolled in Medicare?

Yes. Jacqueline 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Carlson was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.