CARMON RAE ANNE CARLSON (CNM) – Advanced Practice Midwife, NPI 1679914402

CARMON RAE ANNE CARLSON (CNM) is a healthcare provider. based in Lake mary, Florida. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. APRN9351408 (FL). The NPI Number for CARMON RAE ANNE CARLSON (CNM) is 1679914402

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
CARMON RAE ANNE CARLSON (CNM)
NPI
1679914402
Phone
(407) 834-8111
Address
785 PRIMERA BLVD
Enumeration Date
9 July 2013
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078348111
Graduation Year
2013 (13 years ago)
PAC ID
4284869876
Group Practice PAC ID
5395807218
Professional Enrollment ID
I20131107001082
Address ID
FL327010000AL785XXBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

360 CERTIFIED NURSE MIDWIFE (CNM) in FL

Provider Addresses for CARMON RAE ANNE CARLSON (CNM)

  • 785 PRIMERA BLVD

    SUITE 1031

    LAKE MARY, FL 327462124

    Phone: (407) 834-8111

    Fax: (407) 708-1958

    Type: Mailing

  • 2035 GLENWOOD DR

    WINTER PARK, FL 327923307

    Phone: (407) 960-2112

    Fax: (407) 960-7024

    Type: Location

  • 785 PRIMERA BLVD STE 1031

    LAKE MARY, FL 327462124

    Phone: (407) 834-8111

    Fax: (407) 708-1958

    Type: Location

  • 3300 S FISKE BLVD

    ROCKLEDGE, FL 329554306

    Phone: (407) 960-2112

    Fax: (407) 960-7024

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $301.

Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Gynesonics, Inc. ($39).

Total Amount

$301

General + Research + Ownership

Payments

18

Total payment records

General Amount

$301

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131107001082ICertified Nurse Midwife (Cnm)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32746)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395807218View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
-CO
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL

Reviews

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Frequently asked questions

Is CARMON RAE ANNE CARLSON (CNM) listed with a National Provider Identifier?
Yes — CARMON RAE ANNE CARLSON (CNM) has NPI 1679914402 on file in the registry.
Is there an active status for CARMON RAE ANNE CARLSON (CNM)?
For scheduling context, CARMON RAE ANNE CARLSON (CNM) is shown as active in the registry.
What clinical focus is listed for CARMON RAE ANNE CARLSON (CNM)?
At a glance, CARMON RAE ANNE CARLSON (CNM) is tied to Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What locale is associated with CARMON RAE ANNE CARLSON (CNM)?
Directory geography for CARMON RAE ANNE CARLSON (CNM) centers on Lake Mary, Florida.
Does CARMON RAE ANNE CARLSON (CNM) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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