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AMANDA CARSON
NPI 1235603671
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since January 18, 2019PECOS Enrolled
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2025, Apr 25, 2024, Apr 4, 2024 and 1 more (4 updates tracked since 2019).

About Amanda Carson NPPES

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

AMANDA CARSON (NPI 1235603671) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (NP95035647) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1235603671
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA CARSON
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing AddressFile 53726Los Angeles, CA 90074-0001
Phone(800) 926-8273
Fax(888) 539-8781
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 18, 2019
Last NPPES UpdateNovember 17, 20254 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1235603671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NP95035647
200 W ARBOR DR, San Diego, CA 92103
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1350 Dickinson St Ste 3-325San Diego, CA 92103-1913 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 24510 Executive DrSan Diego, CA 92121-3021 · Phone (800) 926-8273 · Fax (888) 539-8781

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Carson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951894773
PECOS Enrollment IDI20251201003039
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Carson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California
Same address
Psychiatry
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 220 clinicians in this Medicare group
NPI 1508968967 (800) 926-8273
Centro De Salud De La Comunidad De San Ysidro,inc
0.4 mi
Federally Qualified Health Center (FQHC)
550 WASHINGTON ST STE 331
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1962177873 (619) 662-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DR. EUGENE THOMAS RICHARDSON IV MD
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189

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 Amanda Carson's NPI number?

The NPI number for Amanda Carson is 1235603671. It was assigned to this individual provider in the NPPES registry on January 18, 2019.

Where is Amanda Carson located?

Amanda Carson practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Amanda Carson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Carson enrolled in Medicare?

Yes. Amanda Carson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Carson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Carson reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (San Diego, CA) and Centro De Salud De La Comunidad De San Ysidro,inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Carson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Carson was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.