Mary Ann Carlson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-00250 Issued in KS

Practice address

1102 Hospital Drive
McPherson, KS 67460-2318

Phone

(620) 245-5000

Fax

(620) 245-5099

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairie View IncGroup PAC ID 5496652471, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salina Regional Health Center Hospital, Salina, KS, CCN 170012
• McPherson Hospital Hospital, McPherson, KS, CCN 170105
• Lindsborg Community Hospital Hospital, Lindsborg, KS, CCN 171358

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: maryann.carlson@srhcdirect.com

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.

• Prairie View, Inc.

  • Psychiatry Physician
  • Newton, KS
  • NPI 1558426486
  Medicare reassignment Care Compare group
• Prairie View Inc

  • Community/Behavioral Health Agency
  • Newton, KS
  • NPI 1578252904
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lindsborg Community Hospital Association

  • Critical Access Hospital
  • Lindsborg, KS
  • NPI 1881697811
  Care Compare affiliation
• McPherson Hospital, Inc.

  • General Acute Care Hospital
  • McPherson, KS
  • NPI 1730297409
  Care Compare affiliation
• Salina Regional Health Center, Inc

  • General Acute Care Hospital
  • Salina, KS
  • NPI 1689635138
  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1629011663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140467",
            "telephone_number": "316-284-6400",
            "fax_number": "316-284-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 HOSPITAL DRIVE",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602318",
            "telephone_number": "620-245-5000",
            "fax_number": "620-245-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "023081",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaycee Jo Burghart
• Holly Ann Burt, MD
• Mark R. Busboom, PT ASSISTANT
• Cancer Center of Kansas, P.a.
• Anoria L Carlson, LSCSW
• Carousel Live LLC
• Heather R Case, AT, PTA
• Micaela C Case
• Jon D. Casimir, MD
• Cedars, Inc.

• Physician Assistant in McPherson, KS
• Providers in McPherson, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.