Theresa Carlson, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP129474 Issued in TX

Practice address

4708 Alliance Blvd Ste 600
Plano, TX 75093-5368

Phone

(469) 467-0011

Fax

(469) 467-4923

NPI assigned

Oct 29, 2015

Last updated

Jul 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Kidney Care of North Texas, P.L.L.C.Group PAC ID 6002957271, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
• Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

Merit-based Incentive Payment System (MIPS)

Final score

88.38 of 100Reported as group

Quality

73.64

Promoting interoperability

98

Improvement activities

40

Cost

72.64

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2940/brand/1/csg/1/fhir/r4
• Direct secure messaging: theresa.carlson.1@2940.direct.athenahealth.com

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.

• Advanced Kidney Care of North Texas, P.L.L.C.

  • Nephrology Physician
  • Plano, TX
  • NPI 1497981211
  Medicare reassignment Care Compare group NPD
• Advanced Kidney Care of North Texas, P.L.L.C.

  • Nephrology Physician
  • Garland, TX
  • NPI 1003042177
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Regional Medical Center at Plano

  dba Baylor Scott & White Medical Center - Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1649273434
  Care Compare affiliation
• Baylor Scott & White Medical Centers - Greater North Texas

  dba Baylor Scott & White Medical Center - McKinney

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1124305065
  Care Compare affiliation

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1861864860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935368",
            "telephone_number": "469-467-0011",
            "fax_number": "469-467-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935368",
            "telephone_number": "469-467-0011",
            "fax_number": "469-467-4923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5236 W University Dr Ste 4200",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750718127",
            "country_code": "US",
            "telephone_number": "214-544-9590",
            "fax_number": "214-544-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "THERESA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP129474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360325002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360325001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Carlough, RN
• Alicia Carlson, FNP
• Dennis Jason Carlson, PA-C
• Erin Carlson, LPC
• Laura Elizabeth Carlson, NP-C
• Chad Joseph Carlton, M.D.
• Linda Harper Carmicle, PH.D
• Cody Lee Carnes, MD
• Madison Carney, DC, MS
• Carolyn G. Maurer, PHD,LPC,LMFT, PC

• Acute Care Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.

Verify at the official NPI Registry.