Nicole A Carson, PA
Individual provider Active NPI Physician Assistant · Buckingham, PA
NPI 1023086089 · NPPES record last updated Jun 4, 2026
Key facts
- NPI
- 1023086089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA051781 (PA)
- Practice address
- 4897 York Road
Buckingham, PA 18912 - Phone
- (215) 794-7471
- Fax
- (215) 794-2576
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associates in Psychiatry and Counseling, PC
Practice addresses (Care Compare)
2050 Larkin Ave
Suite 202
Elgin, IL 60123-5899
Phone (847) 697-2400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080917000307 | IL | Practitioner - Physician Assistant | 6305807512 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA051781 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Psychiatry and Counseling, PC | Past |
Accepting new patients | |
| Buckingham Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085002289 | IL | |
| Physician Assistant | 363A00000X | MA051781 | PA | Yes |
Addresses
Primary practice location
4897 York Road
Buckingham, PA 18912
Mailing address
PO Box 278
Buckingham, PA 18912-0278
Phone (215) 794-7471
Other practice location 1
2050 Larkin Ave Ste 202
Elgin, IL 60123-5899
Phone (847) 697-2400
Other providers in Buckingham, PA
- Buckingham Family Medicine
- Buckingham Pediatrics PC
- Buckingham SNF LLC
- Buckingham SNF LLC
- Charles J Carey
- Commonwealth of Pennsylvania Mobile Dentistry,Inc
- Karen White David
- Loren De la Cruz
- Tina Degnan
- Robert A Delie
All providers in Buckingham, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.