Jennifer Johnson Carlson, FNP - Medicare Nurse Practitioner in Vancouver, WA

Jennifer Johnson Carlson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Vancouver, Washington. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Salmon Creek Hospital, Northwest Acute Care Specialists Pc and her current practice location is 1905 Se 164th Ave, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 836-3396.

Jennifer Johnson Carlson is licensed to practice in Washington (license number AP30007648) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558553693.

Contact Information

Jennifer Johnson Carlson, FNP
1905 Se 164th Ave,
Vancouver, WA 98683-8937
(360) 836-3396
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Johnson Carlson
GenderFemale
SpecialityNurse Practitioner
Experience18 Years
Location1905 Se 164th Ave, Vancouver, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Johnson Carlson graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1558553693
  • Provider Enumeration Date: 08/13/2007
  • Last Update Date: 02/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6507932969
  • Enrollment ID: I20080909000168

Medical Identifiers

Medical identifiers for Jennifer Johnson Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558553693NPI-NPPES
9658154MedicaidWA
500601300MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 200750023NP (Oregon)Secondary
363LF0000XNurse Practitioner - Family AP30007648 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Salmon Creek Medical CenterVancouver, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Salmon Creek Hospital0446295711236
Northwest Acute Care Specialists Pc701280737324

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Johnson Carlson allows following entities to bill medicare on her behalf.
Entity NameNorthwest Acute Care Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215983200
PECOS PAC ID: 7012807373
Enrollment ID: O20050720000943
Entity NameLegacy Salmon Creek Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356357784
PECOS PAC ID: 0446295711
Enrollment ID: O20051223000194

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Johnson Carlson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Johnson Carlson, FNP
Po Box 3158,
Portland, OR 97208-3158

Ph: () -
Jennifer Johnson Carlson, FNP
1905 Se 164th Ave,
Vancouver, WA 98683-8937

Ph: (360) 836-3396

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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