Julie Ann Carson, PA-C

Individual provider Active NPI Physician Assistant · Seaford, DE

NPI 1174894232 · NPPES record last updated Jan 21, 2012

Key facts

NPI
1174894232
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
24459 Sussex Hwy
Seaford, DE 19973-4433
Phone
(302) 629-3099
Fax
(302) 629-6059
NPI assigned
Jan 21, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100 (group)
Quality
91.08
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in DE, MD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120423000544 DE Practitioner - Physician Assistant 8022279801 Reassigns benefits to 2 organizations
I20230509000933 MD Practitioner - Physician Assistant 8022279801 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ambient Medical Care, LLC Current Accepting new patients
Ambient Medical Care, LLC Current
since Apr 7, 2012
Accepting new patients
Ambient Medical Care, LLC Current
since Apr 7, 2012
Accepting new patients

Locations

24459 Sussex Hwy
Seaford, DE 19973
Phone (302) 629-3099

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

24459 Sussex Hwy
Seaford, DE 19973-4433

Mailing address

417 Myrtle St
Crisfield, MD 21817-1437
Phone (443) 783-4079

Other identifiers

IdentifierTypeStateIssuer
1103759OtherNCCPA CERTIFICATION

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 21, 2012.

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327104000000",
    "number": "1174894232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MYRTLE ST",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "218171437",
            "telephone_number": "443-783-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24459 SUSSEX HWY",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199734433",
            "telephone_number": "302-629-3099",
            "fax_number": "302-629-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATION",
            "identifier": "1103759",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

All providers in Seaford, DE · Physician Assistant in Delaware

Sources for this page

Verify at the official NPI Registry.