Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Breanna Marie Carlson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1114755758

Breanna Marie Carlson, FNP-C is a Nurse Practitioner in Roseville, California. Qualified in 2024, 2 years ago. Practices with Eric L Ellis MD Inc, a 17-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

151 N Sunrise Ave Ste 1201
Roseville, CA 95661-2961
Phone: (916) 780-0110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95031284 (CA)

Record details

NPI number1114755758
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 24, 2024
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Eric L Ellis Md Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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