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CARLY KRISTINE OUVERSON PA-C
NPI 1982210514
Physician Assistant - Medical in Galesburg, IL

Active since September 18, 2020PECOS EnrolledAccepts Medicare Assignment
3315 N SEMINARY ST, GALESBURG, IL 61401(309) 344-1000 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2022, Sep 18, 2020 (2 updates tracked since 2020).

About Carly Kristine Ouverson Pa-c NPPES

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

CARLY KRISTINE OUVERSON PA-C (NPI 1982210514) is an individual medical provider in Galesburg, Illinois, licensed in Illinois (085.008903) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1982210514
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCARLY KRISTINE OUVERSONCredential: PA-C
Location Address3315 N SEMINARY STGalesburg, IL 61401-1251
Mailing Address4582 335th StFertile, IA 50434-8701 · (641) 529-0691
Phone(309) 344-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 18, 2020
Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1982210514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 085.008903
3315 N SEMINARY ST, Galesburg, IL 61401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Carly Kristine Ouverson Pa-c 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 ID9638557960
PECOS Enrollment IDI20220527001105
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

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.

Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Holy Family Medical Center

Critical Access Hospitals · Monmouth, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141318
Location1000 W Harlem AvenueMonmouth, IL 61462 · Warren County
Emergency services

Osf Saint Luke Medical Center

Critical Access Hospitals · Kewanee, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141325
Location1051 West South StreetKewanee, IL 61443 · Henry County
Emergency services

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.

MELISSA HAJOSTEK APN
Nurse Practitioner
3315 N SEMINARY ST
GALESBURG, IL 61401
Knox County (309) 344-1000
VIJAY K ARORA MD
Surgery
3315 N SEMINARY ST
GALESBURG, IL 61401
Knox County (309) 344-1000
SHANNON L EGAN APRN,CNP
Nurse Practitioner (Family)
3315 N SEMINARY ST
GALESBURG, IL 61401
Knox County (309) 344-1000
BETHANY MCGRAW APRN
Nurse Practitioner (Family)
3315 N SEMINARY ST
GALESBURG, IL 61401
Knox County (309) 344-1000
SERGE PETER MARINKOVIC MD
Urology
3315 N SEMINARY ST
GALESBURG, IL 61401
Knox County (309) 344-1000
DR. VLADIMIR STRUNIN MD
Obstetrics & Gynecology
3315 N SEMINARY ST
GALESBURG, IL 61401
Knox County (309) 344-1000
LINDA M AUER DO
Ophthalmology
3315 N SEMINARY ST
GALESBURG, IL 61401
Knox County (309) 344-1000
DR. JEREMIAH FRANCIS BUSHMAKER DPM
Podiatrist (Foot Surgery)
3315 N SEMINARY ST
GALESBURG, IL 61401
Knox County (309) 344-1000

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 Carly Ouverson's NPI number?

The NPI number for Carly Ouverson is 1982210514. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Carly Ouverson located?

Carly Ouverson practices at 3315 N Seminary St, Galesburg, IL 61401. The listed phone number is (309) 344-1000.

What is Carly Ouverson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carly Ouverson enrolled in Medicare?

Yes. Carly Ouverson 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 Carly Ouverson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Carly Ouverson 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 Carly Ouverson affiliated with any hospitals?

According to CMS data, Carly Ouverson is affiliated with St Mary Medical Center, Saint Francis Medical Center, Osf Holy Family Medical Center and Osf Saint Luke Medical Center.

When was this NPI record last updated?

The NPPES record for Carly Ouverson was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.