Active NPI
Nicole Lynn Carlson, MD
- Obstetrics & Gynecology Physician
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35.154697
- Practice address
- 667 Eastland Ave SE FL 2
Warren, OH 44484-4503 - Phone
- (330) 841-4579
- Fax
- (330) 841-4920
- NPI assigned
- Jan 23, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD430168 | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | 35.154697 | OH | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 28269 | WV | |
| Obstetrics & Gynecology Physician | 207V00000X | D0056758 | MD |
Addresses
Primary practice location
667 Eastland Ave SE FL 2
Warren, OH 44484-4503
Mailing address
667 Eastland Ave SE FL 2
Warren, OH 44484-4503
Phone (330) 841-4579
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ncarlson125693@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | ncarlson125693@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Obstetrics/Gynecology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Technology Dr
Butler, PA 16001-1785
Phone (724) 449-3245
12311 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3457
12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-6581
62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765
631 N Broad St Ext
Grove City, PA 16127-4603
631 N Broad St Extension
Agh Radiation Oncology
Grove City, PA 16127-4603
Phone (724) 450-7182
647 N Broad St Ext
Grove City, PA 16127-4604
Hospital & facility affiliations
- Grove City Medical Center
- Upmc Jameson
- Ahn Wexford Hospital
- Independence Health System Butler Memorial Hospita
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- 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 |
|---|---|---|---|
| D0056758 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Obstetrics & Gynecology | Current | Accepting new patients |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Past | Accepting new patients | |
| West Penn Allegheny Health System, Inc | Past | Accepting new patients |
Locations
103 Technology Dr
Butler, PA 16001
Phone (724) 431-0609
647 N Broad Street Ext
Ste 107
Grove City, PA 16127
Phone (724) 458-8460
647 N Broad Street Ext
Ste 202
Grove City, PA 16127
Phone (724) 449-3245
631 N Broad Street Ext
Grove City, PA 16127
Phone (724) 450-7000
62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765
4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212
Interoperability endpoints
- ncarlson392806@direct.ahn.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Obstetrics & Gynecology Physician
- Gibsonia, PA
- NPI 1881208502
-
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1629078332
-
- General Acute Care Hospital
- Wexford, PA
- NPI 1588269898
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Butler, PA
- NPI 1447317896
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Butler, PA
- NPI 1821162314
-
- General Acute Care Hospital
- Grove City, PA
- NPI 1023000296
-
- General Acute Care Hospital
- New Castle, PA
- NPI 1477538312
-
- General Acute Care Hospital
- Wexford, PA
- NPI 1588269898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1912987124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 EASTLAND AVE SE FL 2",
"city": "WARREN",
"state": "OH",
"postal_code": "444844503",
"telephone_number": "330-841-4579",
"fax_number": "330-841-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "667 EASTLAND AVE SE FL 2",
"city": "WARREN",
"state": "OH",
"postal_code": "444844503",
"telephone_number": "330-841-4579",
"fax_number": "330-841-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "NICOLE",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD430168",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35.154697",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WV",
"license": "28269",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0056758",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ncarlson125693@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Wheeling Ave",
"city": "Glen Dale",
"state": "WV",
"country_code": "US",
"postal_code": "260381660",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ncarlson125693@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Wheeling Ave",
"city": "Glen Dale",
"state": "WV",
"country_code": "US",
"postal_code": "260381660",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.