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

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

Q: 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.

Q: What is Carly Ouverson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Carly Ouverson was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 18, 2020PECOS Enrolled

3315 N SEMINARY ST, GALESBURG, IL 61401(309) 344-1000 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 4, 2026, Mar 3, 2022, Sep 18, 2020 (3 updates tracked since 2020).

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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 physician assistant in Galesburg, Illinois, licensed in Illinois (085008903) 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 Taxonomy363A00000X

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 UpdateSeptember 4, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2026

✔ NPI 1982210514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085008903

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61401 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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