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MIA LEIGH CARLSON MMSPA
NPI 1639970080
Physician Assistant in Englewood, NJ

Active since March 21, 2025PECOS EnrolledAccepts Medicare Assignment
300 GRAND AVE STE 201, ENGLEWOOD, NJ 07631(201) 608-5656(201) 608-5650 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2025, Mar 24, 2025, Mar 21, 2025 (3 updates tracked since 2025).

About Mia Leigh Carlson Mmspa NPPES

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

MIA LEIGH CARLSON MMSPA (NPI 1639970080) is an individual physician assistant in Englewood, New Jersey and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639970080
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIA LEIGH CARLSONCredential: MMSPA
Location Address300 GRAND AVE STE 201Englewood, NJ 07631-6300
Mailing Address300 Grand Ave Ste 201Englewood, NJ 07631-6300 · (201) 608-5656 · Fax (201) 608-5650
Phone(201) 608-5656
Fax(201) 608-5650
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 21, 2025
Last NPPES UpdateJune 6, 20253 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1639970080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
300 GRAND AVE STE 201, Englewood, NJ 07631
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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

Mia Leigh Carlson Mmspa 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 ID8325553928
PECOS Enrollment IDI20250714001696
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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 3

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

DR. BRIAN ANTHONY COLE MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
300 GRAND AVE STE 201
ENGLEWOOD, NJ 07631
Bergen County (201) 608-5656
ENGLEWOOD DERMATOLOGY CENTER
Dermatology
300 GRAND AVE STE 201
ENGLEWOOD, NJ 07631
Bergen County (201) 569-5151
ENGLEWOOD SPINE ASSOCIATES LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
300 GRAND AVE STE 201
ENGLEWOOD, NJ 07631
Bergen County (201) 608-5656

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 Mia Carlson's NPI number?

The NPI number for Mia Carlson is 1639970080. It was assigned to this individual provider in the NPPES registry on March 21, 2025.

Where is Mia Carlson located?

Mia Carlson practices at 300 Grand Ave Ste 201, Englewood, NJ 07631. The listed phone number is (201) 608-5656.

What is Mia Carlson's specialty?

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

Is Mia Carlson enrolled in Medicare?

Yes. Mia Carlson 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.

Is Mia Carlson affiliated with any hospitals?

According to CMS data, Mia Carlson is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Mia Carlson was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.