DAVID WALTER CARLSON JR. CRNA
NPI 1982368866
Nurse Anesthetist, Certified Registered in Royal Oak, MI

Active since October 26, 2021
86.01/100
CMS Quality Rating
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-5000 Get Directions Write a Review

NPPES record last updated: May 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David Walter Carlson Jr. Crna NPPES

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

DAVID WALTER CARLSON JR. CRNA (NPI 1982368866) is an individual nurse anesthetist, certified registered in Royal Oak, Michigan, licensed in Michigan (4704318026) and active in the NPI registry since October 2021. He is affiliated with Beaumont Hospital Royal Oak and is a graduate of Other (2015).

NPPES Registry Identity

NPI1982368866
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDAVID WALTER CARLSON JR.Credential: CRNA
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address44405 Bayview Ave Apt 33106Clinton Township, MI 48038-7295 · (586) 212-0300
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 26, 2021
Last NPPES UpdateMay 29, 2022
NPPES CertifiedMay 29, 2022
✔ NPI 1982368866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704318026
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704318026 (MI)
3601 W 13 MILE RD, Royal Oak, MI 48073

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)

David Walter Carlson Jr. Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406246339
PECOS Enrollment IDI20211207001985

Medicare Billing Reassignments

3

Medicare enrollment records show David Carlson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
33545 CHERRY HILL RD FL 2
Westland, MI 48186
  • Reassigned Medicare billing, Michigan enrollment
  • 273 clinicians in this Medicare group
Anesthesiology
718 N MACOMB ST
Monroe, MI 48162
  • Reassigned Medicare billing, Michigan enrollment
  • 109 clinicians in this Medicare group
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 905 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.

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Surgeons Choice Medical Center

Acute Care Hospitals · Southfield, MI
OwnershipProprietary
CMS Certification Number230301
Location22401 Foster Winter DriveSouthfield, MI 48075 · Oakland County

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Improvement Activities40

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.

Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073

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 David Carlson's NPI number?

The NPI number for David Carlson is 1982368866. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is David Carlson located?

David Carlson practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-5000.

What is David Carlson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is David Carlson enrolled in Medicare?

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

Which organizations bill Medicare for David Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Carlson reassigns Medicare benefits to 3 organizations: Anesthesia Associates Of Ann Arbor, PLLC (Westland, MI), Ambulatory Anesthesia Associates, PC (Monroe, MI) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). 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 David Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Carlson accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list David 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 David Carlson affiliated with any hospitals?

According to CMS data, David Carlson is affiliated with Beaumont Hospital Royal Oak and Surgeons Choice Medical Center.

When was this NPI record last updated?

The NPPES record for David Carlson was last updated on May 29, 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.