Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annelise M Carlson, MD

Individual provider Diagnostic Radiology Physician · NPI 1720153075

Annelise M Carlson, MD is a Diagnostic Radiology in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2003, 23 years ago. Practices with Gila River Health Care Corporation, a 241-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
23
Trained at
University of Minnesota Medical School
Licensed in
MN, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5228 Evanswood Ln
Minneapolis, MN 55436-1133
Phone: (952) 595-1100
Fax: (612) 294-4903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 48435 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 60206 (WI)

Record details

NPI number1720153075
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 22, 2006
Last updated in NPPESMarch 3, 2022
Certification dateFebruary 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2003 (23 years in practice)
Group practice Gila River Health Care Corporation — 241 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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