Paula Carlton, APNP
NPI 1417966565 · Nurse Practitioner · West Bend, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paula Carlton, APNP is a Nurse Practitioner provider in West Bend, WI (NPI 1417966565).
Provider details
- NPI number
- 1417966565
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1533-033 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
370 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 174 | $72 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 85 | $103 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 69 | $103 |
| Administration of Influenza Virus VaccineG0008 | 18 | $30 |
| Initial Preventive Physical Examination; Face-To-Face Visit, Services Limited to New Beneficiary During the First 12 Months of Medicare EnrollmentG0402 | 13 | $132 |
| Annual Wellness Visit; Includes a Personalized Prevention Plan of Service (pps), Initial Visit |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 112 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 316 | 80 |
| Levothyroxine Sodium | 223 | 54 |
| Losartan Potassium | 215 | 54 |
| Omeprazole | 215 | 44 |
| Metformin Hclbrand: Metformin Hcl Er | 204 | 58 |
| Metoprolol Succinate | 165 | 37 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-07
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Frequently asked questions
- What is Paula Carlton's NPI number?
- Paula Carlton's National Provider Identifier (NPI) is 1417966565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paula Carlton's specialty?
- Paula Carlton is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Paula Carlton located?
- Paula Carlton's practice location on file with NPPES is 205 Valley Ave, West Bend, WI 53095-5312.
- What is Paula Carlton's phone number?
- The practice phone number listed in the NPPES registry for Paula Carlton is (262) 338-1123.
- Does Paula Carlton accept Medicare?
- Paula Carlton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paula Carlton's NPI active?
- Yes — Paula Carlton's NPI (1417966565) is active in the NPPES registry as of the last update on 2026-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.