MABEL E CARSON FNP-C
NPI 1689074619
Nurse Practitioner - Family in San Bernardino, CA
About Mabel E Carson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MABEL E CARSON FNP-C (NPI 1689074619) is an individual family provider in San Bernardino, California, licensed in California (95002376) and active in the NPI registry since August 2014. She maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mabel E Carson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mabel Carson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ontario, CA 91762
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Universal Multispecialty Medical Group Inc
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN BERNARDINO, CA 92410
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 Mabel Carson's NPI number?
The NPI number for Mabel Carson is 1689074619. It was assigned to this individual provider in the NPPES registry on August 27, 2014. The provider is also known as Mabel E Casas.
Where is Mabel Carson located?
Mabel Carson practices at 980 N D St, San Bernardino, CA 92410. The listed phone number is (909) 521-7508.
What is Mabel Carson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mabel Carson enrolled in Medicare?
Yes. Mabel Carson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mabel Carson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mabel Carson reassigns Medicare benefits to Universal Multi Specialty Medical Group Inc (Ontario, CA). The 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 Mabel 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 Mabel Carson was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mabel E Carson, FNP-C · NPI 1689074619
Family physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since August 27, 2014.
## Identity
- **NPI:** 1689074619 (Entity type: Individual)
- **Enumerated:** August 27, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95002376 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 980 N D ST, San Bernardino, CA 92410-3520
- **Phone:** (909) 521-7508
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Universal Multi Specialty Medical Group Inc (NPI 1124543129, Ontario, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1689074619) · Data from the CMS NPPES public registry.