THERESA CARLSON (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1861864860

THERESA CARLSON (AGACNP-BC) is a healthcare provider. based in Plano, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. AP129474 (TX). The NPI Number for THERESA CARLSON (AGACNP-BC) is 1861864860

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
THERESA CARLSON (AGACNP-BC)
NPI
1861864860
Phone
(469) 467-0011
Address
4708 ALLIANCE BLVD STE 600
Enumeration Date
29 October 2015
Last Update Date
13 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4694670011
Graduation Year
2015 (11 years ago)
PAC ID
8527358225
Group Practice PAC ID
6002957271
Professional Enrollment ID
I20160609000142
Address ID
TX750935368PL4708XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for THERESA CARLSON (AGACNP-BC)

  • 4708 ALLIANCE BLVD STE 600

    PLANO, TX 750935368

    Phone: (469) 467-0011

    Fax: (469) 467-4923

    Type: Mailing

  • 5236 W University Dr Ste 4200

    McKinney, TX 750718127

    Phone: (214) 544-9590

    Fax: (214) 544-9595

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-06-13 • Largest payer in this snapshot: Ascendis Pharma Inc ($28).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-13

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: 2016-06-09

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
I20160609000142INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes117100$0
99204New patient office or other outpatient visit, 45-59 minutes5252$0
99213Established patient office or other outpatient visit, 20-29 minutes4443$0
90970Dialysis services, per day, less than full month service (20 years or older)3220$0
99205New patient office or other outpatient visit, 60-74 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 75093)

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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: 6002957271View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nephrology, Internal MedicineTX
N E P H R O L O G YTX
N E P H R O L O G YTX
Nephrology, Internal MedicineTX
N E P H R O L O G YTX
N E P H R O L O G YTX

Reviews

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Frequently asked questions

What number should I use to identify THERESA CARLSON (AGACNP-BC) for billing?
Administrative and clinical systems typically use NPI 1861864860 for THERESA CARLSON (AGACNP-BC).
Is THERESA CARLSON (AGACNP-BC)'s NPI status active today?
Active status means THERESA CARLSON (AGACNP-BC)'s NPI record is not deactivated in the public file.
What does the directory say THERESA CARLSON (AGACNP-BC) does?
Insurance directories may phrase it differently, but here THERESA CARLSON (AGACNP-BC) maps to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to THERESA CARLSON (AGACNP-BC)?
THERESA CARLSON (AGACNP-BC) is associated with Plano, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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