Vera B Carlson, MD, PHD
Individual provider Active NPI Family Medicine Physician · Providence, UT
NPI 1023095585 · NPPES record last updated Jan 31, 2024
Key facts
- NPI
- 1023095585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5916429-8905 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
1480 N 400
Logan, UT 84341-7525
Phone (435) 750-5501
565 W 465
Suite 130
Providence, UT 84332-4802
Phone (435) 753-9379
Hospital & facility affiliations
- Rocky Mountain Home Health - Utah
- Rocky Mountain Hospice - Utah
- Intermountain Health Logan Regional Hospital
- Rocky Mountain Care - Logan
Merit-based Incentive Payment System (MIPS)
- Final score
- 61.24 of 100
- Quality
- 58.16
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 62.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 28 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Rocky Mountain Care Logan |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 1, 2024 Mar 1, 2024 |
| Rocky Mountain Hospice - Utah |
Hospice | Contracted Managing Employee | Oct 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051213000106 | UT | Practitioner - Family Practice | 8921057803 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5916429-8905 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Health LLC | Current |
Accepting new patients | |
| Cache Valley Vein | Current |
Accepting new patients | |
| Cache Valley Specialty Hospital | Past | Accepting new patients |
Locations
1481 E 1450 S
Clearfield, UT 84015
Phone (801) 397-4300
1480 N 400 E
Logan, UT 84341
Phone (435) 750-5501
2380 N 400 E
North Logan, UT 84341
Phone (435) 713-9700
565 W 465 N
Ste 130
Providence, UT 84332
Phone (208) 552-8579
3419 W 12600 S
Riverton, UT 84065
Phone (801) 446-8400
85 E 2000 N
Tooele, UT 84074
Phone (435) 843-2000
598 W 900 S
Ste 220
Woods Cross, UT 84010
Phone (801) 693-2310
598 W 900 S
Ste 230
Woods Cross, UT 84010
Phone (385) 403-0410
Interoperability endpoints
- vera.carlson.1@17691.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5916429-8905 | UT | Yes |
Addresses
Primary practice location
565 W 465 N Ste 130
Providence, UT 84332-4802
Mailing address
169 N Gateway Dr Ste 170
Providence, UT 84332-9855
Phone (435) 752-5553
Other providers in Providence, UT
- Cache Valley Assisted Living
- Cache Valley Chiropractic Clinic LLC
- Cache Valley Vein
- Aaron Cannon
- Joseph Carley
- Amanda Castillo
- Darin Andrew Chase
- Connor Cheboski
- Alexandra Christensen
- Joshua Tyler Christiansen
All providers in Providence, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.