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Mrs. Heidi Jo Carlson

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Heidi Jo Carlson
Gender: F
Provider License Number If Given: 200150156

NPI Information:

NPI: 1912906470
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 9/8/2014

Provider Business Mailing Address:

Address: PO BOX 6579 446 OAK ST / 6579
Brookings, OR 97415
Phone Number: 5414128898
Fax Number: 5414127420

Provider Business Practice Location Address:

Address: 446 OAK ST / 6579
Brookings, OR 97415
Phone Number: 5414128898
Fax Number: 5414127420

Provider Taxonomy:

Primary: 363L00000X
Secondary (if any):
State: OR

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About Mrs. Heidi Jo Carlson

Mrs. Heidi Jo Carlson (MRS. HEIDI JO CARLSON ) is (1) Nurse Practitioner Physician in Brookings, OR. The NPI Number for Mrs. Heidi Jo Carlson is 1912906470.
The current location address for Mrs. Heidi Jo Carlson is 446 OAK ST / 6579 Brookings, OR 97415 and the contact number is 5414128898 and fax number is 5414127420. The mailing address for Mrs. Heidi Jo Carlson is PO BOX 6579 446 OAK ST / 6579 Brookings, OR 97415- 5414128898 (mailing address contact number - 5414128898).
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mrs. Heidi Jo Carlson ?


Answer: The NPI Number for Mrs. Heidi Jo Carlson is 1912906470

Where is Mrs. Heidi Jo Carlson located?


Answer: Mrs. Heidi Jo Carlson is located at 446 OAK ST / 6579 Brookings, OR 97415.

What is the specialty for Mrs. Heidi Jo Carlson ?


Answer: The Specialty of Mrs. Heidi Jo Carlson is (1) Nurse Practitioner Physician.

Are there any online reviews for Mrs. Heidi Jo Carlson ?


Answer: Not yet!

Are there any other health care providers in Brookings, OR?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Mrs. Heidi Jo Carlson

Number of HCPCS 29
Number of Medicare Beneficiaries 70
Number of Services 110
Total Submitted Charge Amount 8053
Total Medicare Allowed Amount 2108.78
Total Medicare Payment Amount 1580.36
Total Medicare Standardized Payment Amount 1478.23
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 38
Number of Beneficiaries Age 75 to 84 17
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 50
Number of Male Beneficiaries 20
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 21
Number of Beneficiaries With Medicare Only Entitlement 49
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.27
Percent (%) of Beneficiaries Identified With Diabetes 0.29
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.34
Percent (%) of Beneficiaries Identified With Hypertension 0.59
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.17
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.43
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.8118

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 4126
Number of Standardized 30-Day Fills 7075.2666667
Aggregate Cost Paid for All Claims 355624.54
Number of Day's Supply for All Claims 202898
Number of Medicare Beneficiaries 200
Number of Claims, Including Refills, for Beneficiaries Age 65+ 3115
Including Refills, for Beneficiaries Age 65+ 5646.7
Beneficiaries Age 65+ 272177.82
Number of Day's Supply for All Claims for Beneficaries Age 65+ 162543
Number of Medicare Beneficiaries Age 65+ 165
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 612
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 3482
Aggregate Cost Paid for Generic Drugs 92313.56
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 32
Aggregate Cost Paid for Other Drugs 1018.35
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 349
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 21285.37
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 3777
Aggregate Cost Paid for Claims Filled by 334339.17
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1773
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 159111.59
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 2353
by Low-Income Subsidy 196512.95
Total Claims of Opioid Drugs, Including 184
Aggregate Cost Paid for Opioid Drugs 4663.49
Opioid Claims 25
Opioid_Tot_Clms divided by the Tot_Clms 4.4595249636
Total Claims of Long-Acting Opioid Drugs 11
Aggregate Cost Paid for Long-Acting Opioid 447.43
Number of Day's Supply of All Long-Acting 330
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 5.9782608696
Total Claims of Antibiotic Drugs, Including 68
Aggregate Cost Paid for Antibiotic Drugs 1085.47
Antibiotic Claims 38
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 12
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 264.11
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 69.715
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 100
Number of Beneficiaries Age 75 to 84 60
Number of Female Beneficiaries 134
Number of Male Beneficiaries 66
Number of Non-Hispanic White 185
Number of Black or African American 0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 148
Average Hierarchical Condition Category 0.7978933333

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Dr. Ronald Dustin Bodman
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Kimberly Louise Hanks
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Dr. Charles Stephen Hurst
Dentist
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Mrs. Heidi Jo Carlson in Other Directories

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