Carla M Vossen, FNP
Individual provider Active NPI Family Nurse Practitioner · Turtle Lake, WI
NPI 1861552010 · NPPES record last updated Feb 26, 2008
Key facts
- NPI
- 1861552010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 200450094NP FNP PP (OR)
- Practice address
- 550 Martin Ave W
Turtle Lake, WI 54889-9069 - Phone
- (715) 986-4101
- Fax
- (715) 986-4033
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Minnesota Medical School, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fairview Clinics
Practice addresses (Care Compare)
600 W 98TH St
Bloomington, MN 55420-4773
Phone (952) 885-6150
Hospital & facility affiliations
- Fairview Lakes Health Services
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 |
|---|---|---|---|---|
| I20151119002999 | MN | Practitioner - Nurse Practitioner | 6800858796 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200450094NP FNP PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients | |
| Paulina Peaks Family Healthcare | Family | Past | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
11725 Stinson Ave
Chisago City, MN 55013
Phone (651) 257-8421
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651
400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
Interoperability endpoints
- cvossen349971@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200450094NP FNP PP | OR | Yes |
Addresses
Primary practice location
550 Martin Ave W
Turtle Lake, WI 54889-9069
Mailing address
550 Martin Ave W
Turtle Lake, WI 54889-9069
Phone (715) 986-4101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36056700 | Medicaid | WI | |
| 3334-33 | Other | WI | WISCONSIN APNP LICENSE |
| 105858-30 | Other | WI | WIS RN LICENSE |
| 32862100 PROV GROUP | Medicaid | WI |
Other providers in Turtle Lake, WI
- Kayla S Steinberger
- The Lakes Community Health Center, Inc
- Tessa Traynor
- Kaleena J Vanderwyst
- Robert Edward Vogel
- Melissa Waytashek
- Noah Zehringer
All providers in Turtle Lake, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2008. 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.