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MR. LEE CARLSON ARNP-C
NPI 1962841965
Nurse Practitioner - Family in Iowa Falls, IA

Active since June 23, 2013PECOS Enrolled
920 S OAK ST STE 1, IOWA FALLS, IA 50126(641) 648-7000 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2021, Jul 10, 2020, Feb 13, 2020 (3 updates tracked since 2020).

About Mr. Lee Carlson Arnp-c NPPES

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

MR. LEE CARLSON ARNP-C (NPI 1962841965) is an individual family provider in Iowa Falls, Iowa, licensed in Iowa (A118681) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Van Diest Medical Center, and maintains a secondary practice location in Ames.

NPPES Registry Identity

NPI1962841965
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. LEE CARLSONCredential: ARNP-C
Location Address920 S OAK ST STE 1Iowa Falls, IA 50126-9506
Mailing Address1000 10th AveAckley, IA 50601-1701 · (641) 847-2625 · Fax (641) 847-2509
Phone(641) 648-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 23, 2013
Last NPPES UpdateFebruary 22, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2024
✔ NPI 1962841965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · A118681
Also ListedNurse PractitionerTaxonomy 363L00000X · License A118681 (IA)
920 S OAK ST STE 1, Iowa Falls, IA 50126
Open in Google Maps ↗

Secondary Practice Location 1

Location 11111 Duff AveAmes, IA 50010-5745 · Phone (515) 239-2155 · Fax (515) 239-2050

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Lee Carlson Arnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244473106
PECOS Enrollment IDI20130826000631
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Lee Carlson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ellsworth Municipal Hospital
Same address
Obstetrics & Gynecology
920 S OAK ST
Iowa Falls, IA 50126
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1831296052 (Iowa)
  • 46 clinicians in this Medicare group
NPI 1053738765 (641) 648-7044
Hamilton County Public Hospital
24 mi
Rural Health
731 MAIN ST
Jewell, IA 50130
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1295702397 (Iowa)
  • 71 clinicians in this Medicare group
NPI 1851308423 (515) 827-6175
Stewart Memorial Community Hospital
56 mi
Rural Health
1800 MAIN ST
Gowrie, IA 50543
  • Reassigned Medicare billing, Iowa enrollment
  • 42 clinicians in this Medicare group
NPI 1588690267 (712) 464-8891
Audubon County Memorial Hospital
103 mi
Emergency Medicine
515 PACIFIC AVE
Audubon, IA 50025
  • Reassigned Medicare billing, Iowa enrollment
  • 33 clinicians in this Medicare group
NPI 1730153420 (712) 563-2611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Van Diest Medical Center

Critical Access Hospitals · Webster City, IA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number161361
Location2350 Hospital DriveWebster City, IA 50595 · Hamilton County
Emergency services

Hansen Family Hospital

Critical Access Hospitals · Iowa Falls, IA
OwnershipGovernment - Local
CMS Certification Number161380
Location920 South Oak StreetIowa Falls, IA 50126 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50126 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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

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

DR. CRAIG GIBSON D.O.
Family Medicine
920 S OAK ST STE 1
IOWA FALLS, IA 50126
Hardin County (641) 648-7101

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 Lee Carlson's NPI number?

The NPI number for Lee Carlson is 1962841965. It was assigned to this individual provider in the NPPES registry on June 23, 2013.

Where is Lee Carlson located?

Lee Carlson practices at 920 S Oak St Ste 1, Iowa Falls, IA 50126. The listed phone number is (641) 648-7000.

What is Lee Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lee Carlson enrolled in Medicare?

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

Which organizations bill Medicare for Lee Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Carlson reassigns Medicare benefits to 4 organizations: Ellsworth Municipal Hospital (Iowa Falls, IA), Hamilton County Public Hospital (Jewell, IA), Stewart Memorial Community Hospital (Gowrie, IA) and Audubon County Memorial Hospital (Audubon, IA). Each 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 Lee Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lee Carlson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Lee 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 Lee Carlson affiliated with any hospitals?

According to CMS data, Lee Carlson is affiliated with Van Diest Medical Center and Hansen Family Hospital.

When was this NPI record last updated?

The NPPES record for Lee Carlson was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.