Theresa Carlson, AGACNP-BC
NPI 1861864860 · Acute Care Nurse Practitioner · Plano, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Carlson, AGACNP-BC is a Acute Care Nurse Practitioner provider in Plano, TX (NPI 1861864860).
Provider details
- NPI number
- 1861864860
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- AP129474 (TX)
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
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
285 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 138 | $103 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 52 | $74 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 46 | $136 |
| Dialysis Services, Per Day, Less Than Full Month Service (20 Years Or Older)90970 | 30 | $8 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 19 | $147 |
Typical Medicare-allowed amounts for these services range $8–$147 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 32 | 13 |
| Furosemide | 31 | — |
| Allopurinol | 30 | — |
| Tamsulosin Hcl | 29 | 12 |
| Hydralazine Hcl | 22 | — |
| Sevelamer Carbonate | 20 | — |
| Carvedilol | 17 | — |
| Hydrochlorothiazide | 17 |
Practice location
Mailing address
Additional practice locations (1)
- 5236 W University Dr Ste 4200Mckinney, TX 75071-8127Phone: (214) 544-9590Fax: (214) 544-9595
Registry dates
- Enumerated
- 2015-10-29
- Last updated
- 2020-07-13
- Certified
- 2020-07-13
Frequently asked questions
- What is Theresa Carlson's NPI number?
- Theresa Carlson's National Provider Identifier (NPI) is 1861864860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Carlson's specialty?
- Theresa Carlson is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Carlson located?
- Theresa Carlson's practice location on file with NPPES is 4708 Alliance Blvd Ste 600, Plano, TX 75093-5368.
- What is Theresa Carlson's phone number?
- The practice phone number listed in the NPPES registry for Theresa Carlson is (469) 467-0011.
- Does Theresa Carlson accept Medicare?
- Theresa Carlson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Carlson's NPI active?
- Yes — Theresa Carlson's NPI (1861864860) is active in the NPPES registry as of the last update on 2020-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.