CONNIE JEANETTE CARLSTROM (ANP) – Adult Health Nurse Practitioner, NPI 1164424610
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for CONNIE JEANETTE CARLSTROM (ANP)
4375, Booth Calloway Road, North Richland Hills, Tarrant County, Texas, 76180, United States
SUITE 400
NORTH RICHLAND HILLS, TX 761808359
Phone: (817) 595-0745
Fax: (817) 595-2601
Type: Location
1924 FOREST RIDGE DR
BEDFORD, TX 760218228
Phone: (817) 545-4550
Type: Location
1320, Greenway Drive, Las Colinas, Irving, Dallas County, Texas, 75038, United States
SUITE 200
IRVING, TX 750382503
Phone: (972) 550-9195
Fax: (972) 550-0079
Type: Mailing
1924 Forest Ridge Dr
Bedford, TX 760218228
Phone: (817) 545-4550
Type: Location
1400 HOSPITAL PKWY STE 100
BEDFORD, TX 760226928
Phone: (817) 545-4550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $1,364.
Total Amount is formed as General ($1,364) + Research ($0) + Ownership ($0) = $1,364.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($219).
Total Amount
$1,364
General + Research + Ownership
Payments
63
Total payment records
General Amount
$1,364
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $219 |
| Medtronic, Inc. | $144 |
| Janssen Pharmaceuticals, Inc | $132 |
| Merck Sharp & Dohme LLC | $124 |
| Abbott Laboratories | $114 |
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: 2004-02-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040204000689 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 735 | 556 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 415 | 351 | $0 |
| 93280 | Programming of dual lead pacemaker system | 11 | 11 | $0 |
Insurance plans in this area (ZIP 76180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Vascular Surgery | PA | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | TX | |
| Family Practice | TX |
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