Individual provider Active NPI

Lindsay A Carroll, PA-C

  • Physician Assistant
  • Casa Grande, AZ
National Provider Identifier
1770168809
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8332 Issued in AZ
Practice address
1828 E Florence Blvd
BLDG a Suite 110
Casa Grande, AZ 85122
Phone
(520) 876-4006
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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 8332 AZ Primary

Addresses

Primary practice location

1828 E Florence Blvd
BLDG a Suite 110
Casa Grande, AZ 85122

Mailing address

1828 E Florence Blvd
BLDG a Suite 110
Casa Grande, AZ 85122

Other practice location 1

3035 E Desert Cove Ave
Phoenix, AZ 85028-2607
Phone (602) 708-6877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20211025001420 AZ Practitioner - Physician Assistant 8426446428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Physician Specialists Arizona LLCGroup PAC ID 6204002272, 371 clinicians

Practice addresses (Care Compare)

120 E Main St
Suite a
Payson, AZ 85541-5618
Phone (928) 596-4700

1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone (520) 381-6300

1828 E Florence Blvd
Casa Grande, AZ 85122-4783

Hospital & facility affiliations

  • Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8332AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Sep 1, 2021 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1828 E Florence Blvd
Ste 110
Casa Grande, AZ 85122
Phone (520) 381-6736

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1770168809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 E FLORENCE BLVD",
            "address_2": "BLDG A SUITE 110",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 E FLORENCE BLVD",
            "address_2": "BLDG A SUITE 110",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85122",
            "telephone_number": "520-876-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3035 E Desert Cove Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850282607",
            "country_code": "US",
            "telephone_number": "602-708-6877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LINDSAY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.