Active NPI
Renee J. Carson
- Emergency Medicine Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DR.0049381
- Practice address
- 1501 S Potomac St
Aurora, CO 80012-5411 - Phone
- (303) 695-2628
- Fax
- (303) 306-7753
- NPI assigned
- May 7, 2007
- Last updated
- Jun 16, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | DR.0049381 | CO | Primary |
Addresses
Primary practice location
1501 S Potomac St
Aurora, CO 80012-5411
Mailing address
PO Box 173862
Denver, CO 80217-3862
Phone (303) 306-7783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00943887 | Other | CO | RAILROAD MEDICARE |
| 86233386 | Medicaid | CO |
Other names 1
- Renee Carson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 Hospital Loop
Craig, CO 81625-8750
Phone (970) 824-9411
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.89 of 100
- Quality
- 86.88
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0049381 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Memorial Hospital | Current | Accepting new patients | |
| Carepoint Emergency Medicine, PLLC | Emergency Medicine | Current | Accepting new patients |
| St. Vincent General Hospital District | Current | Accepting new patients | |
| St. Vincent General Hospital District | Current | Accepting new patients | |
| The Memorial Hospital | Current | Accepting new patients | |
| Longs Peak Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
| Boulder Emergency Physicians PC | Emergency Medicine | Past | Accepting new patients |
Locations
750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411
1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604
816 W 4th St
Leadville, CO 80461
Phone (719) 221-0660
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Memorial Regional Health
- Critical Access Hospital
- Craig, CO
- NPI 1063418424
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1134590318
-
- Primary Care Clinic/Center
- Leadville, CO
- NPI 1497710958
-
dba St. Vincent Family Health Center and Urgent Care
- Rural Health Clinic/Center
- Leadville, CO
- NPI 1467047183
-
- Emergency Medicine Physician
- Lafayette, CO
- NPI 1407454317
-
- Emergency Medicine Physician
- Longmont, CO
- NPI 1215910146
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Regional Health
- Critical Access Hospital
- Craig, CO
- NPI 1063418424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1861605008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173862",
"city": "DENVER",
"state": "CO",
"postal_code": "802173862",
"telephone_number": "303-306-7783",
"fax_number": "303-306-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S POTOMAC ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800125411",
"telephone_number": "303-695-2628",
"fax_number": "303-306-7753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "RENEE",
"middle_name": "J.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "DR.0049381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00943887",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "86233386",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "CARSON",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.