MRS. MARCELLA LEE CARLSON PA
NPI 1679956569
Physician Assistant - Medical in Rochester, NY
About Mrs. Marcella Lee Carlson Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARCELLA LEE CARLSON PA (NPI 1679956569) is an individual medical provider in Rochester, New York, licensed in New York (018715) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
Mrs. Marcella Lee Carlson Pa 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.
Areas of Expertise CMS Part B claims
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Marcella Carlson's NPI number?
The NPI number for Marcella Carlson is 1679956569. It was assigned to this individual provider in the NPPES registry on July 9, 2015. The provider is also known as Miss Marcella Lee Ethington PA.
Where is Marcella Carlson located?
Marcella Carlson practices at 1425 Portland Ave Rochester Regional Health, Rochester, NY 14621. The listed phone number is (585) 338-1200.
What is Marcella Carlson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Marcella Carlson enrolled in Medicare?
Yes. Marcella 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.
When was this NPI record last updated?
The NPPES record for Marcella Carlson was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Marcella Lee Carlson, PA · NPI 1679956569
Medical physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since July 9, 2015.
## Identity
- **NPI:** 1679956569 (Entity type: Individual)
- **Enumerated:** July 9, 2015
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 018715 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1425 PORTLAND AVE, ROCHESTER REGIONAL HEALTH, Rochester, NY 14621
- **Phone:** (585) 338-1200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 21, 2018
- **Other identifiers:** Medicaid 04295236 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1679956569) · Data from the CMS NPPES public registry.