JACQUELYNNE ROSE CARLSON
NPI 1982338885
Occupational Therapist in Coeur D Alene, ID

Active since July 15, 2022
1812 N LAKEWOOD DR STE 100, COEUR D ALENE, ID 83814(208) 966-4476(208) 966-4475 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 6, 2025, Nov 29, 2022, Jul 15, 2022 (3 updates tracked since 2022).

About Jacquelynne Rose Carlson NPPES

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

JACQUELYNNE ROSE CARLSON (NPI 1982338885) is an individual occupational therapist in Coeur D Alene, Idaho, licensed in Texas (121595) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1982338885
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJACQUELYNNE ROSE CARLSON
Location Address1812 N LAKEWOOD DR STE 100Coeur D Alene, ID 83814-2635
Mailing Address850 W Ironwood Dr Ste 202Coeur D Alene, ID 83814-4903 · (208) 664-2175 · Fax (208) 664-1226
Fax(208) 966-4475
Sole ProprietorNo
Enumeration DateJuly 15, 2022
Last NPPES UpdateMarch 6, 20253 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1982338885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in TX · 121595
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1812 N LAKEWOOD DR STE 100, Coeur D Alene, ID 83814

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelynne Rose Carlson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jacquelynne Carlson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
850 W IRONWOOD DR STE 202
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 26 clinicians in this Medicare group
Physical Therapist
2065 W RIVERSTONE DR STE 101
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 13 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 7

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

Occupational Therapist
1812 N LAKEWOOD DR STE 100
COEUR D ALENE, ID 83814
Occupational Therapist
1812 N LAKEWOOD DR STE 100
COEUR D ALENE, ID 83814
Physical Therapist
1812 N LAKEWOOD DR STE 100
COEUR D ALENE, ID 83814
Physical Therapist
1812 N LAKEWOOD DR STE 100
COEUR D ALENE, ID 83814
Physical Therapist
1812 N LAKEWOOD DR STE 100
COEUR D ALENE, ID 83814
Physical Therapist
1812 N LAKEWOOD DR STE 100
COEUR D ALENE, ID 83814
Physical Therapist
1812 N LAKEWOOD DR STE 100
COEUR D ALENE, ID 83814

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 Jacquelynne Carlson's NPI number?

The NPI number for Jacquelynne Carlson is 1982338885. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Where is Jacquelynne Carlson located?

Jacquelynne Carlson practices at 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814. The listed phone number is (208) 966-4476.

What is Jacquelynne Carlson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jacquelynne Carlson enrolled in Medicare?

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

Which organizations bill Medicare for Jacquelynne Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelynne Carlson reassigns Medicare benefits to 2 organizations: Orthopedic Surgery And Sports (Coeur D Alene, ID) and Lake City Physical Therapy P A (Coeur D Alene, ID). 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 Jacquelynne Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelynne Carlson accept?

Health plans from Blue Cross and Blue Shield of Texas list Jacquelynne 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.

When was this NPI record last updated?

The NPPES record for Jacquelynne Carlson was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.