Vera B Carlson, MD, PHD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5916429-8905 Issued in UT

Practice address

565 W 465 N Ste 130
Providence, UT 84332-4802

Phone

(435) 752-5553

Fax

(435) 755-5043

NPI assigned

Dec 27, 2005

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Senior Health LLCGroup PAC ID 6305260746, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rocky Mountain Home Health - Utah Home health agency, Woods Cross, UT, CCN 467061
• Rocky Mountain Hospice - Utah Hospice, Woods Cross, UT, CCN 461511
• Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015
• Rocky Mountain Care - Logan Nursing home, Logan, UT, CCN 465116

Merit-based Incentive Payment System (MIPS)

Final score

61.24 of 100Reported as group

Quality

58.16

Promoting interoperability

0

Improvement activities

40

Cost

62.65

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vera.carlson.1@17691.direct.athenahealth.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Beaver Valley Hospital

  dba Rocky Mountain Care - Logan

  • Skilled Nursing Facility
  • Logan, UT
  • NPI 1952416679

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Rmce Utah Home Health and Hospice LLC

  dba Rocky Mountain Hospice - Utah

  • Community Based Hospice Care Agency
  • Woods Cross, UT
  • NPI 1396621223

  Contracted Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Health LLC

  dba Senior Health - Physician Services

  • Geriatric Medicine (Family Medicine) Physician
  • Woods Cross, UT
  • NPI 1134721228
  Medicare reassignment Care Compare group NPD
• Peachtree Family Medicine PC

  • Family Medicine Physician
  • Providence, UT
  • NPI 1679608582
  Medicare reassignment Authorized official
• Cache Valley Vein

  • Vascular & Interventional Radiology Physician
  • Providence, UT
  • NPI 1831662311
  Medicare reassignment NPD
• Western Medical Consultants

  • Internal Medicine Physician
  • Draper, UT
  • NPI 1790175073
  Medicare reassignment
• Cache Valley Specialty Hospital

  • General Acute Care Hospital
  • North Logan, UT
  • NPI 1669446563
  NPD (past)
• Utah Laser Therapy Company, PLLC

  • Internal Medicine Physician
  • Draper, UT
  • NPI 1811417546
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beaver Valley Hospital

  dba Rocky Mountain Care - Logan

  • Skilled Nursing Facility
  • Logan, UT
  • NPI 1952416679

  Nursing home

  Care Compare affiliation
• Ihc Health Services Inc

  dba Intermountain Health Logan Regional Hospital

  • General Acute Care Hospital
  • Logan, UT
  • NPI 1831108497
  Care Compare affiliation
• Rmce Utah Home Health and Hospice LLC

  dba Rocky Mountain Home Health - Utah

  • Home Health Agency
  • Woods Cross, UT
  • NPI 1225914138
  Care Compare affiliation
• Rmce Utah Home Health and Hospice LLC

  dba Rocky Mountain Hospice - Utah

  • Community Based Hospice Care Agency
  • Woods Cross, UT
  • NPI 1396621223
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1023095585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 N GATEWAY DR STE 170",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329855",
            "telephone_number": "435-752-5553",
            "fax_number": "435-755-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 W 465 N STE 130",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843324802",
            "telephone_number": "435-752-5553",
            "fax_number": "435-755-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "VERA",
        "middle_name": "B",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5916429-8905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cache Valley Assisted Living
• Cache Valley Chiropractic Clinic LLC
• Cache Valley Vein
• Aaron Cannon
• Joseph Carley, DPT
• Amanda Castillo, CSW
• Darin Andrew Chase, PT
• Connor Cheboski, RBT
• Alexandra Christensen, RBT
• Joshua Tyler Christiansen, M.D.

• Family Medicine Physician in Providence, UT
• Providers in Providence, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.