CINNAMON LEE CARLSON (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1548769490

CINNAMON LEE CARLSON (PMHNP-BC) is a healthcare provider. based in Wabash, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 9196197 (FL). The NPI Number for CINNAMON LEE CARLSON (PMHNP-BC) is 1548769490

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
CINNAMON LEE CARLSON (PMHNP-BC)
NPI
1548769490
Phone
(260) 563-8446
Address
255 N MIAMI ST
Enumeration Date
6 February 2018
Last Update Date
13 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8005394228
Graduation Year
2017 (9 years ago)
PAC ID
7416207741
Group Practice PAC ID
0244226363
Professional Enrollment ID
I20210721003146
Address ID
FL320848695ST200XXVWXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

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Provider Addresses for CINNAMON LEE CARLSON (PMHNP-BC)

  • Bowen Center, 255, North Miami Street, Wabash, Wabash County, Indiana, 46992, United States

    WABASH, IN 469922705

    Phone: (260) 563-8446

    Type: Location

  • 200 SAN SEBASTIAN VW

    ST AUGUSTINE, FL 320848695

    Phone: (904) 209-6200

    Type: Location

  • 2621, East Jefferson Street, Warsaw, Kosciusko County, Indiana, 46580, United States

    WARSAW, IN 465803880

    Phone: (574) 267-7169

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 125 Open Payments records for all available years, with a total value of $2,326.

Total Amount is formed as General ($2,326) + Research ($0) + Ownership ($0) = $2,326.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($635).

Total Amount

$2,326

General + Research + Ownership

Payments

125

Total payment records

General Amount

$2,326

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2025-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210721003146INurse PractitionerFLTBD
I20250905004189INurse PractitionerIATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes26267$0
96372Injection of drug or substance under skin or into muscle7013$0
View full utilization report →

Insurance plans in this area (ZIP 46992)

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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: 0244226363View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Nurse PractitionerMA
-FL
Nurse PractitionerFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

What is the registry number for CINNAMON LEE CARLSON (PMHNP-BC)?
The registry entry for CINNAMON LEE CARLSON (PMHNP-BC) shows NPI 1548769490.
Quick check: is CINNAMON LEE CARLSON (PMHNP-BC) active?
Public NPPES data shows CINNAMON LEE CARLSON (PMHNP-BC) with an active NPI status right now.
What does the directory say CINNAMON LEE CARLSON (PMHNP-BC) does?
Insurance directories may phrase it differently, but here CINNAMON LEE CARLSON (PMHNP-BC) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to CINNAMON LEE CARLSON (PMHNP-BC)?
CINNAMON LEE CARLSON (PMHNP-BC) shows a connection to Wabash, Indiana in registry-derived data.
Why is information missing for CINNAMON LEE CARLSON (PMHNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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