Dustin James Carlson, DNP, ARNP, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Kennewick, WA
NPI 1194447334 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1194447334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP61478226 (WA)
- Practice address
- 721 S Auburn St
Kennewick, WA 99336-5629 - Phone
- (509) 547-2204
- Fax
- (509) 542-8836
- NPI assigned
- Sep 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri-Cities Community Health
Practice addresses (Care Compare)
721 S Auburn St
Kennewick, WA 99336-5629
Phone (509) 547-2204
Hospital & facility affiliations
- Tri-Cities Home Health
- Columbia River Home Health
- Kadlec Regional Medical Center
- Trios Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230925002065 | WA | Practitioner - Nurse Practitioner | 1355795337 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60651641 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Community Health | Current |
Accepting new patients | |
| Tri-Cities Community Health | Current | Accepting new patients | |
| Tri-Cities Community Health | Past | Accepting new patients | |
| Tri Cities Community Health | Past | Accepting new patients |
Locations
721 S Auburn St
Kennewick, WA 99336
Phone (509) 586-1157
3180 W Clearwater Ave
Ste A
Kennewick, WA 99336
515 W Court St
Pasco, WA 99301
Phone (509) 543-8520
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
915 Goethals Dr
Richland, WA 99352
Phone (509) 946-3700
829 Goethals Dr
Richland, WA 99352
Phone (509) 713-7331
Interoperability endpoints
- dustin.carlson.1@21034.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60651641 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP61478226 | WA | Yes |
Addresses
Primary practice location
721 S Auburn St
Kennewick, WA 99336-5629
Mailing address
PO Box 1452
Pasco, WA 99301-1223
Phone (509) 547-2204
Other providers in Kennewick, WA
- James Carey
- Gina Ramirez Carino
- Ashlea Renee Carlin
- Carlsen Counseling Services LLC
- Ashlee Nicole Carlsen
- Tabatha Lynn Carlson
- Marleny Carmona
- Uriel Carmona
- Syloh Carolino
- Christine V Carpenter
All providers in Kennewick, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 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.
- 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.