Individual provider Active NPI

Carson Tyler Hausmann

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1649806175
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007726 Issued in FL
Practice address
2626 Capital Medical Blvd
Tallahassee, FL 32308-4499
Phone
(561) 308-8620
NPI assigned
Mar 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11007726 FL Primary

Addresses

Primary practice location

2626 Capital Medical Blvd
Tallahassee, FL 32308-4499

Mailing address

1814 Seay CT
Tallahassee, FL 32303-3268
Phone (561) 308-8620

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200921000054 FL Practitioner - Nurse Practitioner 1759709983 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Emergency Physician GroupGroup PAC ID 8325317084, 48 clinicians

Practice addresses (Care Compare)

1260 Metropolitan Blvd
Tallahassee, FL 32312-2536
Phone (850) 422-5414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11007726FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Oliver Emergency Group, LLC CurrentSince Jun 16, 2022 Accepting new patients
Lake Oliver Emergency Group, LLC Single Specialty CurrentSince Jun 16, 2022 Accepting new patients
Paragon Emergency Services LLC Single Specialty CurrentSince Aug 15, 2020 Accepting new patients
Tallahassee Memorial Healthcare Inc Single Specialty CurrentSince Jan 14, 2026 Accepting new patients
TMH Emergency Physician Group Single Specialty CurrentSince Jan 14, 2026 Accepting new patients
TMH Emergency Physician Group Single Specialty CurrentSince Jan 14, 2026 Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

1260 Metropolitan Blvd
Tallahassee, FL 32312
Phone (850) 422-5413

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

2674 Capital Cir SE
Tallahassee, FL 32311
Phone (850) 325-5888

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1649806175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 SEAY CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033268",
            "telephone_number": "561-308-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084499",
            "telephone_number": "561-308-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSMANN",
        "first_name": "CARSON",
        "middle_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.