CARRIE MICHAEL BUBENZER PA-C
NPI 1205186152
Physician Assistant in Philadelphia, PA

Active since September 18, 2012PECOS Enrolled
PO BOX 8500 LOCKBOX 7642, PHILADELPHIA, PA 19178(318) 226-3300(318) 424-7610 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2024, May 10, 2023, Aug 3, 2022 and 6 more (9 updates tracked since 2017).

About Carrie Michael Bubenzer Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARRIE MICHAEL BUBENZER PA-C (NPI 1205186152) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Louisiana (200579) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205186152
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARRIE MICHAEL BUBENZERCredential: PA-C
Location AddressPO BOX 8500 LOCKBOX 7642Philadelphia, PA 19178-5682
Mailing Address8731 Park Plaza DrShreveport, LA 71105-5682 · (318) 797-5848 · Fax (318) 797-5844
Fax(318) 424-7610
Sole ProprietorNo
Enumeration DateSeptember 18, 2012
Last NPPES UpdateAugust 16, 20249 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
NPI 1205186152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in LA · 200579
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

PO BOX 8500 LOCKBOX 7642, Philadelphia, PA 19178

Other Identifiers 2

Other12513166Caqh
Medicaid2483854LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carrie Michael Bubenzer Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
351 services228 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
180 services160 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19178 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carrie Bubenzer's NPI number?

The NPI number for Carrie Bubenzer is 1205186152. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Carrie Bubenzer located?

Carrie Bubenzer practices at PO Box 8500 Lockbox 7642, Philadelphia, PA 19178. The listed phone number is (318) 226-3300.

What is Carrie Bubenzer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carrie Bubenzer enrolled in Medicare?

Yes. Carrie Bubenzer is registered in the Medicare PECOS enrollment system.

What insurance does Carrie Bubenzer accept?

Health plans from HMO Louisiana list Carrie Bubenzer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carrie Bubenzer was last updated on August 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.