Nicole A Carson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051781 Issued in PA

Practice address

4897 York Road
Buckingham, PA 18912

Phone

(215) 794-7471

Fax

(215) 794-2576

NPI assigned

Mar 8, 2006

Last updated

Jun 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Psychiatry and Counseling, PCGroup PAC ID 8022092667, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associates in Psychiatry and Counseling, PC

  • Mental Health Counselor
  • Elgin, IL
  • NPI 1750404935
  Medicare reassignment Care Compare group NPD (past)
• Buckingham Family Medicine

  • Family Medicine Physician
  • Buckingham, PA
  • NPI 1427033802
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1023086089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "BUCKINGHAM",
            "state": "PA",
            "postal_code": "189120278",
            "telephone_number": "215-794-7471",
            "fax_number": "215-794-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 YORK ROAD",
            "city": "BUCKINGHAM",
            "state": "PA",
            "postal_code": "18912",
            "telephone_number": "215-794-7471",
            "fax_number": "215-794-2576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Larkin Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601235899",
            "country_code": "US",
            "telephone_number": "847-697-2400",
            "fax_number": "847-697-2438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002289",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buckingham Family Medicine
• Buckingham Pediatrics PC
• Buckingham SNF LLC
• Buckingham SNF LLC
• Charles J Carey, PA
• CF Sanchez DMD PC
• Commonwealth of Pennsylvania Mobile Dentistry,Inc
• Karen White David, MD
• Loren De la Cruz, HEALTH COACH
• Tina Degnan, M.D.

• Physician Assistant in Buckingham, PA
• Providers in Buckingham, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.