Erin Carlsen
Individual provider Active NPI Family Nurse Practitioner · Saint Cloud, MN
NPI 1669914248 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1669914248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP 4876 (MN)
- Practice address
- 1406 6TH Ave N
Heart & Vascular Center
Saint Cloud, MN 56303-1900 - Phone
- (320) 656-7020
- Fax
- (320) 255-5714
- NPI assigned
- Nov 14, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centracare Clinic
Practice addresses (Care Compare)
1200 6TH Ave N
Centracare Clic River Campus
Saint Cloud, MN 56303-2735
Phone (320) 252-5131
Hospital & facility affiliations
- Centracare - St. Cloud Hospital
- Alomere Health
- Astera Health
- Glacial Ridge Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|---|
| I20161222000242 | MN | Practitioner - Nurse Practitioner | 6305127879 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP 4876 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current |
Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients |
Locations
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
Interoperability endpoints
- ecarlsen323892@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP 4876 | MN | Yes |
Addresses
Primary practice location
1406 6TH Ave N
Heart & Vascular Center
Saint Cloud, MN 56303-1900
Mailing address
1406 6TH Ave N
Heart & Vascular Center
Saint Cloud, MN 56303-1900
Phone (320) 656-7020
Other providers in Saint Cloud, MN
- Care Cab
- Care Planning Institute
- Careconnect Health Services LLC
- Caremmax
- Mary Kay Carle
- Ashely Nicole Carlson
- Bethany Carlson
- Brianne Marie Carlson
- Heidi Jean Carlson
- Karen J. Carlson
All providers in Saint Cloud, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 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.