Misty Dawn Carlson, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

457 Issued in NE

Practice address

Bamc 3851 Roger Brooke Dr
McHe-QD (Cred)
Ft Sam Houston, TX 78234-6200

Phone

(210) 916-3027

NPI assigned

May 5, 2006

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 TX

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

Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omaha Tribe of Nebraska 21 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Omaha Tribe of Nebraska

  • Dental Clinic/Center
  • Macy, NE
  • NPI 1871977918

  TX

  Medicare reassignment Care Compare group NPD
• Omaha Tribe of Nebraska

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Macy, NE
  • NPI 1609083914
  Care Compare group
• Omaha Tribe of Nebraska

  • Clinic/Center
  • Walthill, NE
  • NPI 1639848633
  Care Compare group
• Omaha Tribe of Nebraska

  • Ambulance
  • Macy, NE
  • NPI 1679092373
  Care Compare group

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083662324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 TREELINE PARK",
            "address_2": "#1315",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091882",
            "telephone_number": "210-364-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAMC 3851 ROGER BROOKE DR",
            "address_2": "MCHE-QD (CRED)",
            "city": "FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782346200",
            "telephone_number": "210-916-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Josephine Caraveo
• Anthony Paul Cardile II, D.O.
• Natalia Cardona, PSY.D.
• Noah Simmons Carlisle, DO
• Adlei B Carlson, MD
• Darrel K. Carlton, MD
• Jalen Carney
• Sarah Nicole Caron, DO
• Sheldon Lyles Carpenter, MD
• Wayne Leroy Carpenter II, P.A.

• All providers in Ft Sam Houston, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.