JOHN CARLSEN (P.A.) – Medical Physician Assistant, NPI 1114970209

JOHN CARLSEN (P.A.) is a healthcare provider. based in Knoxville, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 3495 (TN). The NPI Number for JOHN CARLSEN (P.A.) is 1114970209

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JOHN CARLSEN (P.A.)
NPI
1114970209
Phone
(865) 632-5900
Address
9125 CROSS PARK DR STE 200
Enumeration Date
18 May 2006
Last Update Date
24 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8655465111
Graduation Year
1991 (35 years ago)
PAC ID
0941241558
Group Practice PAC ID
6608934203
Professional Enrollment ID
I20190515003072
Address ID
TN379162435KN1819XAVEX401

Contacts

Secure Messaging
carlsen.john.timothy@covenanthealth.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

3,118 PHYSICIAN ASSISTANT in TN

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Provider Addresses for JOHN CARLSEN (P.A.)

  • Cross Park Drive, Green Valley, Knoxville, Knox County, Tennessee, 37923, United States

    KNOXVILLE, TN 379234563

    Phone: (865) 632-5900

    Fax: (865) 374-2129

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2023-09-06 • Largest payer in this snapshot: Getinge USA Sales, LLC ($172).

Total Amount

$172

General + Research + Ownership

Payments

4

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Getinge USA Sales, LLC$172
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: 2019-05-15

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
I20190515003072IPhysician AssistantTNTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1612$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 37923)

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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: 6608934203View full group profile
NameSpecialtyState
Physician AssistantTN
Physician AssistantTN
Thoracic SurgeryTN
Physician AssistantTN
Nurse PractitionerTN
Physician AssistantNC
Cardiac SurgeryTN
Cardiovascular Disease (Cardiology), Thoracic SurgeryTN
Nurse PractitionerTN
-TN

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHN CARLSEN (P.A.)?
JOHN CARLSEN (P.A.) — NPI 1114970209 — is the standard way to identify this listing.
Does the file indicate JOHN CARLSEN (P.A.) is practicing under active NPI?
Directory data currently reports JOHN CARLSEN (P.A.) as active.
What taxonomy line describes JOHN CARLSEN (P.A.)?
For research purposes, treat JOHN CARLSEN (P.A.) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is JOHN CARLSEN (P.A.) based?
JOHN CARLSEN (P.A.) is tied to Knoxville, Tennessee in the data we show; additional addresses may exist on the full record.
Why does JOHN CARLSEN (P.A.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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