1. Home
  2. Directory
  3. Nebraska
  4. Omaha
  5. Emergency Medicine
  6. NPI Profile

CARSON DOUGLAS MINICK PA-S
NPI 1366288961
Emergency Medicine - Emergency Medical Services in Omaha, NE

Active since July 02, 2024PECOS EnrolledAccepts Medicare Assignment
42ND AND EMILE ST 3225 S 44TH STREET OMAHA NE 68105, OMAHA, NE 68198(402) 559-6673 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carson Douglas Minick Pa-s NPPES

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

CARSON DOUGLAS MINICK PA-S (NPI 1366288961) is an individual emergency medical services provider in Omaha, Nebraska, licensed in Indiana (0000000000) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366288961
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameCARSON DOUGLAS MINICKCredential: PA-S
Location Address42ND AND EMILE ST 3225 S 44TH STREET OMAHA NE 68105Omaha, NE 68198-0001
Mailing Address42nd And Emile St 3225 S 44th Street Omaha Ne 68105Omaha, NE 68198-0001 · (402) 559-6673
Phone(402) 559-6673
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
✔ NPI 1366288961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in IN · 0000000000
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
42ND AND EMILE ST 3225 S 44TH STREET OMAHA NE 68105, Omaha, NE 68198
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carson Douglas Minick Pa-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486120284
PECOS Enrollment IDI20260420000989
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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 Carson Minick's NPI number?

The NPI number for Carson Minick is 1366288961. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Carson Minick located?

Carson Minick practices at 42nd And Emile St 3225 S 44th Street Omaha NE 68105, Omaha, NE 68198. The listed phone number is (402) 559-6673.

What is Carson Minick's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Carson Minick enrolled in Medicare?

Yes. Carson Minick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carson Minick was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.