Individual provider Active NPI

Nicole Lynn Carlson, MD

  • Obstetrics & Gynecology Physician
  • Warren, OH
National Provider Identifier
1912987124
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.154697 Issued in OH
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

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070621000101 PA Practitioner - Obstetrics/Gynecology 9739288440 Reassigns benefits to 1 organization

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
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

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 Hospital, Grove City, PA, CCN 390266
  • Upmc Jameson Hospital, New Castle, PA, CCN 390016
  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334
  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
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

LicenseStateTypeSpecialty
D0056758MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Obstetrics & Gynecology CurrentSince Jun 1, 2021 Accepting new patients
Allegheny Clinic CurrentSince Jun 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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

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

Verify at the official NPI Registry.