Active NPI
Mandy Renae Carlson, DNP, APRN, FNP-C
- Family Nurse Practitioner
- Grand Island, NE
National Provider Identifier
1396974820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 111224
- Practice address
- 2530 North Sheridan Ave
Grand Island, NE 68803 - Phone
- (308) 398-5522
- Fax
- (308) 398-5523
- NPI assigned
- Jul 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 111224 | NE | Primary |
Addresses
Primary practice location
2530 North Sheridan Ave
Grand Island, NE 68803
Mailing address
2530 North Sheridan Ave
Grand Island, NE 68803
Phone (308) 398-5522
Other names 1
- Mandy Renae Gardner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13315 W Ctr Rd
Omaha, NE 68137-3449
Phone (402) 717-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Past | Accepting new patients | |
| Jasper Diagnostic Clinic | Past | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Past | Accepting new patients |
Interoperability endpoints
- mcarlson8643@achce.catholichealth.net
- https://fhir4.healow.com/fhir/r4/BIEGBA
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1548287907
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
-
- Primary Care Clinic/Center
- Jasper, TX
- NPI 1801075957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1396974820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 NORTH SHERIDAN AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "68803",
"telephone_number": "308-398-5522",
"fax_number": "308-398-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 NORTH SHERIDAN AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "68803",
"telephone_number": "308-398-5522",
"fax_number": "308-398-5523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "MANDY",
"middle_name": "RENAE",
"credential": "DNP, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "111224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANDY",
"last_name": "GARDNER",
"middle_name": "RENAE",
"credential": "RN, FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.