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

Stacy Elizabeth Carlson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568085124

Stacy Elizabeth Carlson is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2022, 4 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

10620 Park Rd Ste 202
Charlotte, NC 28210-0106
Phone: (844) 235-6999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Moye Blvd, Greenville, NC 27834-4300 — (252) 744-6478

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 5016676 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568085124
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2020
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Charlotte