Individual provider Active NPI

Jens Christian Carlsen, DO

  • Urology Physician
  • Port Charlotte, FL
National Provider Identifier
1164669404
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
OS10946 Issued in FL
Practice address
2525 Harbor Blvd
Suite 201a
Port Charlotte, FL 33952-5338
Phone
(941) 421-0756
Fax
(941) 866-6809
NPI assigned
Jan 8, 2009
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X OS10946 FL Primary
Urology Physician 208800000X 125047406 IL

Addresses

Primary practice location

2525 Harbor Blvd
Suite 201a
Port Charlotte, FL 33952-5338

Mailing address

2525 Harbor Blvd
Ste 201a
Port Charlotte, FL 33952-5338
Phone (941) 421-0756

Other practice location 1

1014 N Mills Ave
Arcadia, FL 34266-8811
Phone (941) 421-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20100810000508 FL Practitioner - Urology 4385778505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2525 Harbor Blvd
Suite 201a
Port Charlotte, FL 33952-5338
Phone (941) 421-0756

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS10946FLMDUrology Physician
125047406ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jens Christian Carlsen DO PLLC Urology CurrentSince Feb 10, 2017 Accepting new patients

Locations

1014 N Mills Ave
Arcadia, FL 34266
Phone (941) 242-1929

2525 Harbor Blvd
Ste 301
Pt Charlotte, FL 33952
Phone (941) 421-0756

2525 Harbor Blvd
Ste 201A
Pt Charlotte, FL 33952
Phone (941) 624-3500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1164669404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "STE 201A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525338",
            "telephone_number": "941-421-0756",
            "fax_number": "941-866-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "SUITE 201A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525338",
            "telephone_number": "941-421-0756",
            "fax_number": "941-866-6809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 N Mills Ave",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668811",
            "country_code": "US",
            "telephone_number": "941-421-7560",
            "fax_number": "941-866-6809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSEN",
        "first_name": "JENS",
        "middle_name": "CHRISTIAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "OS10946",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "125047406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.