NICOLE LYNN CARLSON (MD) – Obstetrics & Gynecology Physician, NPI 1912987124

NICOLE LYNN CARLSON (MD) is a healthcare provider. based in New castle, Pennsylvania. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. D0056758 (MD). The NPI Number for NICOLE LYNN CARLSON (MD) is 1912987124

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE LYNN CARLSON (MD)
NPI
1912987124
Phone
(724) 698-1040
Address
26 NESBITT RD
Enumeration Date
23 January 2006
Last Update Date
6 April 2022

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7244493245
Graduation Year
1999 (27 years ago)
PAC ID
9739288440
Group Practice PAC ID
5395649586
Professional Enrollment ID
I20070621000101
Address ID
PA160011785BU103XXDRXX300

Contacts

Secure Messaging
ncarlson125693@direct.wvuhsdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

2,146 OBSTETRICS/GYNECOLOGY in PA

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Provider Addresses for NICOLE LYNN CARLSON (MD)

  • Tempus Advisory Group, 26, Nesbitt Road, Clover, New Castle, Lawrence County, Pennsylvania, 16105, United States

    SUITE 102

    NEW CASTLE, PA 161053410

    Phone: (724) 698-1040

    Type: Mailing

  • 631 N BROAD STREET EXT

    GROVE CITY, PA 161274603

    Phone: (724) 449-3245

    Fax: (724) 449-3233

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Astellas Pharma US Inc ($85).

Total Amount

$134

General + Research + Ownership

Payments

5

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-06-21

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
I20070621000101IObstetrics/GynecologyPATBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3939$0
99213Established patient office or other outpatient visit, 20-29 minutes3218$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 16105)

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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: 5395649586View full group profile
NameSpecialtyState
-PA
Radiation OncologyPA
Nurse PractitionerPA
Nurse PractitionerPA
Critical Care (Intensivists), General SurgeryPA
Physician AssistantPA
O B S T E T R I C S/ G Y N E C O L O G YPA
A N E S T H E S I O L O G YPA
-PA
-PA

Reviews

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Frequently asked questions

Is NICOLE LYNN CARLSON (MD) listed with a National Provider Identifier?
Yes — NICOLE LYNN CARLSON (MD) has NPI 1912987124 on file in the registry.
Is NICOLE LYNN CARLSON (MD) shown as active in public data?
Registry records indicate NICOLE LYNN CARLSON (MD) maintains an active NPI.
What expertise is attributed to NICOLE LYNN CARLSON (MD)?
NICOLE LYNN CARLSON (MD)'s specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with NICOLE LYNN CARLSON (MD)?
Directory geography for NICOLE LYNN CARLSON (MD) centers on New Castle, Pennsylvania.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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