MRS. TANYA LYNN CARLSON (AGPCNP) – Nurse Practitioner, NPI 1235834128

MRS. TANYA LYNN CARLSON (AGPCNP) is a healthcare provider. based in Hinckley, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP. They hold a License No. 10058 (MN). The NPI Number for MRS. TANYA LYNN CARLSON (AGPCNP) is 1235834128

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TANYA LYNN CARLSON (AGPCNP)
NPI
1235834128
Phone
(320) 282-0481
Address
23612 Sikkink Rd
Enumeration Date
31 March 2023
Last Update Date
31 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206791212
Graduation Year
2022 (4 years ago)
PAC ID
8123481181
Group Practice PAC ID
6709295496
Professional Enrollment ID
I20230824001359
Address ID
MN550511899MO301XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MRS. TANYA LYNN CARLSON (AGPCNP)

  • 23612 Sikkink Rd

    Hinckley, MN 550377364

    Phone: (320) 282-0481

    Type: Location

  • PO BOX 858

    HINCKLEY, MN 550370858

    Phone: (320) 282-0481

    Type: Mailing

  • 301 HIGHWAY 65 S

    MORA, MN 550511899

    Phone: (320) 679-1212

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-08-24

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
I20230824001359INurse PractitionerMNTBD

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 55037)

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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: 6709295496View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
U R O L O G YOH
Hospitalist, Internal Medicine, Internal MedicineTN
Family PracticeFL
Family PracticeMN
General SurgeryND
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerMN
Family PracticeMN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. TANYA LYNN CARLSON (AGPCNP)?
MRS. TANYA LYNN CARLSON (AGPCNP) — NPI 1235834128 — is the standard way to identify this listing.
Is MRS. TANYA LYNN CARLSON (AGPCNP) still practicing?
MRS. TANYA LYNN CARLSON (AGPCNP) is currently listed as active in the public NPI registry.
What taxonomy line describes MRS. TANYA LYNN CARLSON (AGPCNP)?
For research purposes, treat MRS. TANYA LYNN CARLSON (AGPCNP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. TANYA LYNN CARLSON (AGPCNP) on a map?
Expect Hinckley, Minnesota as a primary anchor for MRS. TANYA LYNN CARLSON (AGPCNP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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