DR. MARIE MCDERMOTT CARLSON DNP, FNP-BC
NPI 1750892741
Nurse Practitioner in West Hollywood, CA
NPI Status: Active since October 17, 2017
Contact Information
8550 SANTA MONICA BLVD FL 2
WEST HOLLYWOOD, CA
ZIP 90069
Phone: (909) 962-1260
- Individual
- Female
- Nurse Practitioner
- PECOS Enrolled
- Opted-Out Medicare
- Medicare Quality Reporting
About MARIE CARLSON
This page provides the complete NPI Profile along with additional information for Marie Carlson, a provider established in West Hollywood, California with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1750892741 assigned on October 2017. The practitioner's primary taxonomy code is 363L00000X with license number 0024175214 (VA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1750892741
- Provider Name
- DR. MARIE MCDERMOTT CARLSON DNP, FNP-BC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069
- Location Phone
- (909) 962-1260
- Mailing Address
- 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069
- Mailing Phone
- (909) 962-1260
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-17-2017
- Last Update Date
- 04-05-2023
- Code Navigator
A nurse practitioner (NP) like Marie Carlson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Marie Carlson opted out of Medicare effective on 07-01-2021 until 07-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 7014 13th Ave Ste 202
Brooklyn, NY 11228
(833) 447-2775 - 5575 S Semoran Blvd Ste 36
Orlando, FL 32822
(833) 447-2775 - 1003 Bishop St Ste 2700
Honolulu, HI 96813
(833) 447-2775 - 8421 University Blvd Ste M
Des Moines, IA 50325
(833) 447-2775 - 4445 Corporation Ln Ste 259
Virginia Beach, VA 23462
(833) 447-2775 - 1623 Central Ave Ste 18
Cheyenne, WY 82001
(833) 447-2775 - 800 W Main St Ste 1460
Boise, ID 83702
(833) 447-2775 - 1 New Hampshire Ave Ste 125
Portsmouth, NH 03801
(833) 447-2775
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 0024175214
- License State
- VA
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | TPAN313 (FL) |
| 2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 47645 (WY) |
| 3 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 084907-23 (NH) |
| 4 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 68512 (ID) |
| 5 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | F347968-01 (NY) |
| 6 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | A168159 (IA) |
| 7 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | APRN-3283 (HI) |
| 8 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 0024175214 (VA) |
Medicare Participation & PECOS Enrollment Status
Marie Carlson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2021
Opt-Out End Date: 07-01-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 90069 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $96.36
- Minimum New Patient Price $62.96
- Maximum New Patient Price $187.6
- Average New Patient Copayment $24.09
- Minimum New Patient Copayment $15.74
- Maximum New Patient Copayment $46.9
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $109.96
- Minimum Established Patient Price $20.84
- Maximum Established Patient Price $153.61
- Average Established Patient Copayment $27.49
- Minimum Established Patient Copayment $5.21
- Maximum Established Patient Copayment $38.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Colorectal Cancer Screening | 88% | 115 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Pneumococcal Vaccination Status for Older Adults | 64% | 168 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 41% | 186 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Screening for Osteoporosis for Women Aged 65-85 Years of Age | 60% | 89 |
| Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis | ||
Reviews for DR. MARIE MCDERMOTT CARLSON DNP, FNP-BC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 8 | 9 | 2 | 7 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 16 | 9 | 4 | 7 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 6 + 9 + 4 + 7 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1750892741 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023218161 | CAROLYN FRANCES KRIEG D.O. Individual | Internal Medicine | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (925) 818-9432 |
| 1609281583 | DR. SHARON NG M.D. Individual | Family Medicine | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1073568739 | DR. MICHAEL ZIELINSKI DO Individual | Family Medicine | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (833) 447-2775 |
| 1447267745 | DR. KIMBERLY WILCOX-WHITE D.O. Individual | Emergency Medicine | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1508964727 | DR. HOLLY ANNE EASTON DO Individual | Family Medicine | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1982655247 | DR. MICHELLE COWDEN SHARPE MD Individual | Family Medicine | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1174818280 | MEGAN MCELROY PHYSICIAN ASSISTANT Individual | Physician Assistant | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1629501259 | STEPHANIE VILENDRER DEPPE M.D. Individual | Family Medicine | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1548399942 | DR. LANIKA TAMEKA LAWLER MD Individual | Family Medicine | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1558520965 | MICHELLE DENISE ZOOK M.D. Individual | Internal Medicine | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1598833899 | SHEILA NAVIDI CFNP Individual | Nurse Practitioner (Family) | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1609042472 | DR. ANNEMIEKE M AUSTIN M.D. Individual | Family Medicine | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1689685927 | DR. NISHA CHELLAM VEDAMUTHU M.D. Individual | Internal Medicine | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1952973422 | PARSLEY MEDICAL PC Organization | General Practice | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (833) 447-2775 |
| 1023409034 | IVY MCKENZIE CARSON NP Individual | Nurse Practitioner (Primary Care) | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1437227436 | DR. DAWN RENE JOHNSON DO Individual | Family Medicine | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1831293018 | DR. JESSICA TSAO-CHIN WEI M.D. Individual | Preventive Medicine (Public Health & General Preventive Medicine) | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1841683877 | MRS. JAMIE MARIE HILBERT DNP Individual | Nurse Practitioner (Family) | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (833) 477-2775 |
| 1184178089 | ASHLEY GISH APRN Individual | Nurse Practitioner (Women's Health) | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
| 1649603325 | FARNOUSH BENTLEY DO Individual | Family Medicine | 8550 SANTA MONICA BLVD FL 2 WEST HOLLYWOOD, CA 90069 (909) 962-1260 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750892741, enumerated in the NPI registry as an "individual" on October 17, 2017
The provider is located at 8550 Santa Monica Blvd Fl 2 West Hollywood, Ca 90069 and the phone number is (909) 962-1260
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $96.36 with an average copayment of $24.09 for new patient appointments. Established patients should expect a typical charge of $109.96 and an average copayment of 27.49. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on July 01, 2021 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 01, 2025.
This NPI record was last updated on October 17, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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