Joel M Carlson, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

33239 Issued in WI

Practice address

420 Dewey Street
Wisconsin Rapids, WI 54495-0005

Phone

(715) 421-1001

NPI assigned

Aug 10, 2006

Last updated

Jul 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Merit-based Incentive Payment System (MIPS)

Final score

90.65 of 100Reported as group

Quality

87.9

Promoting interoperability

100

Improvement activities

40

Cost

73.87

Merit-based Incentive Payment System (MIPS)

Final score

87.84 of 100Reported as group

Quality

86.21

Promoting interoperability

100

Improvement activities

40

Cost

73.25

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: joel.carlson@cgc-wi.direct.office.nextgen.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nadine M Klesmith, NP

  • Family Nurse Practitioner
  • Weston, WI
  • NPI 1376928457
  Medicare reassignment

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.

• Carlson Gi Clinic

  • Gastroenterology Physician
  • Wisconsin Rapids, WI
  • NPI 1881605335
  NPD (past)
• Central Wisconsin Radiologists SC

  • Diagnostic Radiology Physician
  • Stevens Point, WI
  • NPI 1629004098
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1063423515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DEWEY STREET",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544950005",
            "telephone_number": "715-421-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DEWEY STREET",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544950005",
            "telephone_number": "715-421-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JOEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "33239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31818600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole L Burlingame
• Mackenzie Buttles, OTR/L
• Jessica Lynn Cahill, PA
• Tonya Lyn Krueger Callahan, MS CRC LPC
• Carlson Gi Clinic
• Erica Carpenter, LPN
• Alexis N Case, RN
• Connie K Casey, C.R.N.A.
• Samantha Casey, LPC
• Sean Michael Cashin, M.D.

• Gastroenterology Physician in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Gastroenterology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.