IndividualActive
Glenice Carlson, PAC
NPI 1134222797 · Physician Assistant · Fargo, ND
Glenice Carlson, PAC is a Physician Assistant provider in Fargo, ND (NPI 1134222797).
Provider details
- NPI number
- 1134222797
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- PAC0129 (ND)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
510 4th St S
Prairie St Johns
Fargo, ND 58103
Phone: (701) 476-7239
Fax: (701) 280-5798
Street-level locationGet directions
Mailing address
2320 124 Ave S
Horace, ND 58047
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2007-07-08
Frequently asked questions
- What is Glenice Carlson's NPI number?
- Glenice Carlson's National Provider Identifier (NPI) is 1134222797, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glenice Carlson's specialty?
- Glenice Carlson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Glenice Carlson located?
- Glenice Carlson's practice location on file with NPPES is 510 4th St S, Fargo, ND 58103.
- What is Glenice Carlson's phone number?
- The practice phone number listed in the NPPES registry for Glenice Carlson is (701) 476-7239.
- Is Glenice Carlson's NPI active?
- Yes — Glenice Carlson's NPI (1134222797) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.