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MARIA NICOLE CARMACK PA-C
NPI 1437739406
Physician Assistant in Los Angeles, CA

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment
1441 EASTLAKE AVE, LOS ANGELES, CA 90089(323) 865-3000 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 19, 2023, Apr 13, 2021 (2 updates tracked since 2021).

About Maria Nicole Carmack Pa-c NPPES

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

MARIA NICOLE CARMACK PA-C (NPI 1437739406) is an individual physician assistant in Los Angeles, California, licensed in California (PA63362) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2023).

NPPES Registry Identity

NPI1437739406
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIA NICOLE CARMACKCredential: PA-C
Location Address1441 EASTLAKE AVELos Angeles, CA 90089-1019
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 865-3000
Phone(323) 865-3000
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2023
Enumeration DateApril 13, 2021
Last NPPES UpdateApril 28, 20252 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1437739406 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 CA · PA63362
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.
1441 EASTLAKE AVE, Los Angeles, CA 90089
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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

Maria Nicole Carmack Pa-c 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 ID2062857345
PECOS Enrollment IDI20240226003761
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 3

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.
859 services329 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
162 services72 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90089 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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. DANIELLE RENEE STERRENBERG M.D.
Internal Medicine (Hematology & Oncology)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Los Angeles County (323) 865-0563
EMILY ELIZABETH TALMICH PA-C
Physician Assistant (Surgical)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Los Angeles County (323) 865-3700
DR. NEDA R BLACK M.D.
Dermatology
1441 EASTLAKE AVE, TOPPING TOWER, SUITE 3405
LOS ANGELES, CA 90089
Los Angeles County (818) 634-2514
STEPHANIE TIEMPO BITANGA NP-C
Nurse Practitioner (Acute Care)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Los Angeles County (323) 865-3000
CARMEN LUCIA MARTINEZ MS,RD
Dietitian, Registered
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Los Angeles County (323) 865-3893
DR. BURTON L. EISENBERG MD
Surgery (Surgical Oncology)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Los Angeles County (323) 865-3535
DR. ERIC LEON TAM MD
Internal Medicine (Hematology & Oncology)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Los Angeles County (323) 865-3105
DR. AKBAR ASHRAFI MD
Student in an Organized Health Care Education/Training Program
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Los Angeles County (818) 877-5954

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 Maria Nicole Carmack's NPI number?

The NPI number for Maria Nicole Carmack is 1437739406. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Maria Nicole Carmack located?

Maria Nicole Carmack practices at 1441 Eastlake Ave, Los Angeles, CA 90089. The listed phone number is (323) 865-3000.

What is Maria Nicole Carmack's specialty?

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

Is Maria Nicole Carmack enrolled in Medicare?

Yes. Maria Nicole Carmack 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 Maria Nicole Carmack was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.