DR. DEREK MIKEL CARLSON (D.O.) – Emergency Medicine Physician, NPI 1093911885

DR. DEREK MIKEL CARLSON (D.O.) is a healthcare provider. based in Fort campbell, Kentucky. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 03325 (KY). The NPI Number for DR. DEREK MIKEL CARLSON (D.O.) is 1093911885

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK MIKEL CARLSON (D.O.)
NPI
1093911885
Phone
(270) 798-9416
Address
7277 NIGHTSTALKER WAY
Enumeration Date
27 June 2007
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
7022934111
Graduation Year
2007 (19 years ago)
PAC ID
0446433247
Group Practice PAC ID
0648450296
Professional Enrollment ID
I20181206001607
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:18State licenses:2Digital endpointsOther names

Provider Addresses for DR. DEREK MIKEL CARLSON (D.O.)

  • 7277 NIGHTSTALKER WAY

    FORT CAMPBELL, KY 42223

    Phone: (270) 798-9416

    Type: Mailing

  • 2817 ROCK MERRITT AVE

    FORT BRAGG, NC 283100001

    Phone: (910) 907-8922

    Fax: (910) 907-6069

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 42223)

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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: 0648450296View full group profile
NameSpecialtyState
Emergency MedicineNV
Emergency MedicineAZ
Emergency MedicineNV
Emergency MedicineNV
Family Practice, Emergency MedicineCO
Emergency MedicineNV
Emergency MedicineNV
Emergency MedicineNV
Emergency MedicineIL
Internal MedicineNV

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Frequently asked questions

What is the 10-digit NPI for DR. DEREK MIKEL CARLSON (D.O.)?
DR. DEREK MIKEL CARLSON (D.O.) — NPI 1093911885 — is the standard way to identify this listing.
Is DR. DEREK MIKEL CARLSON (D.O.) listed as active for patients and plans?
The listing shows DR. DEREK MIKEL CARLSON (D.O.) as active in the NPI system.
What is DR. DEREK MIKEL CARLSON (D.O.)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. DEREK MIKEL CARLSON (D.O.) here. Clinical services aligned with this taxonomy classification.
Does DR. DEREK MIKEL CARLSON (D.O.) list a practice location?
Patients near Fort Campbell, Kentucky may find DR. DEREK MIKEL CARLSON (D.O.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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