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
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.26 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambient Medical Care, LLC | Current | Accepting new patients | |
| Ambient Medical Care, LLC | Current |
Accepting new patients | |
| Ambient Medical Care, LLC | Current |
Accepting new patients |
Locations
24459 Sussex Hwy
Seaford, DE 19973
Phone (302) 629-3099
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1103759 | Other | NCCPA CERTIFICATION |
NPI Registry JSON
{
"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
- John B Campbell
- Linet Odhiambo Campbell
- Latoya Camper
- Erica Nicole Cannon
- Stephen Daniel Carey
- CDM Mental Health Therapy Services LLC
- Center for Healing and Hope
- Angela A Cephas
- Kay Chaffinch
- Alysia Chambers
All providers in Seaford, DE · Physician Assistant in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2012. 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.