Individual provider Active NPI

Abigail Camarota Mscisz, PA

  • Physician Assistant
  • Huntersville, NC
National Provider Identifier
1437416211
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
10305 Hamptons Park Dr Ste 201
Huntersville, NC 28078
Phone
(704) 295-3600
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

10305 Hamptons Park Dr Ste 201
Huntersville, NC 28078

Mailing address

9625 Northcross Center CT Ste 201
Huntersville, NC 28078-7353
Phone (704) 801-3097

Other practice location 1

300 Derry Rd
Hudson, NH 03051-3023
Phone (603) 579-5472

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20190205002152 NC Practitioner - Physician Assistant 2365608593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0889NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Oct 21, 2024 Accepting new patients
South Lake Pediatrics CurrentSince Sep 15, 2024 Accepting new patients
Carolinas Physicians Network, Inc CurrentSince Oct 21, 2024 Accepting new patients
Carolinas Physicians Network Inc PastSince Sep 15, 2024 Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

9625 Northcross Center Ct
Ste 201
Huntersville, NC 28078
Phone (704) 801-3097

Interoperability endpoints

  • Direct secure messaging: acamarota499836@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1437416211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 NORTHCROSS CENTER CT STE 201",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787353",
            "telephone_number": "704-801-3097",
            "fax_number": "704-838-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 HAMPTONS PARK DR STE 201",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "704-295-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Derry Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NH",
            "postal_code": "030513023",
            "country_code": "US",
            "telephone_number": "603-579-5472",
            "fax_number": "603-594-8754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MSCISZ",
        "first_name": "ABIGAIL",
        "middle_name": "CAMAROTA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.