MADELINE MARIE CARLSON NP
NPI 1972144376
Nurse Practitioner in Milwaukee, WI

Q: What is Madeline Carlson's NPI number?

The NPI number for Madeline Carlson is 1972144376. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Q: What is Madeline Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Madeline Carlson was last updated on October 6, 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.

Active since October 07, 2019PECOS EnrolledAccepts Medicare Assignment

945 N 12TH ST, MILWAUKEE, WI 53233(414) 219-6777 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2022, Dec 28, 2021, Oct 7, 2019 (3 updates tracked since 2019).

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About Madeline Marie Carlson Np NPPES

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

MADELINE MARIE CARLSON NP (NPI 1972144376) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (9666-33) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972144376

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMADELINE MARIE CARLSONCredential: NP

Location Address945 N 12TH STMilwaukee, WI 53233-1305

Mailing Address1343 N 10th AveWest Bend, WI 53090-1813 · (920) 655-1038

Phone(414) 219-6777

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 7, 2019

Last NPPES UpdateOctober 6, 20223 updates tracked since enumeration

NPPES CertifiedOctober 6, 2022

✔ NPI 1972144376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 9666-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

945 N 12TH ST, Milwaukee, WI 53233

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Other Identifiers 1

Medicaid100094193WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), UnitedHealthcare.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

Madeline Marie Carlson Np 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 ID1759613524

PECOS Enrollment IDI20191028002281

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 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

166 services163 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

128 services125 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center

Acute Care Hospitals · Grafton, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520207

Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

RANA MOHAMMED AL RUBAYE MD

Student in an Organized Health Care Education/Training Program