MS. KRYSTA NICOLE CARLSON PA-C
NPI 1740698356
Physician Assistant in Homedale, ID

Active since July 27, 2014PECOS EnrolledAccepts Medicare Assignment
108 E IDAHO AVE, HOMEDALE, ID 83628(208) 337-3189(208) 466-5359 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Mar 16, 2018 (2 updates tracked since 2018).

About Ms. Krysta Nicole Carlson Pa-c NPPES

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

MS. KRYSTA NICOLE CARLSON PA-C (NPI 1740698356) is an individual physician assistant in Homedale, Idaho, licensed in Idaho (5081403) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newbury Park, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1740698356
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KRYSTA NICOLE CARLSONCredential: PA-C
Location Address108 E IDAHO AVEHomedale, ID 83628-5003
Mailing AddressPo Box 9Nampa, ID 83653-0009 · (208) 467-4431 · Fax (208) 467-7684
Fax(208) 466-5359
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 27, 2014
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1740698356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in ID · 5081403 Licensed in CA · PA51782
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.
108 E IDAHO AVE, Homedale, ID 83628

Secondary Practice Location 1

Location 11000 Newbury RdNewbury Park, CA 91320-6435 · Phone (805) 498-3640 · Fax (805) 498-3641

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

Ms. Krysta Nicole Carlson 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 ID244592657
PECOS Enrollment IDI20180323001118
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 2

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
30 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83628 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers12 claims17 services$4.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacy (Community/Retail Pharmacy)
108 E IDAHO AVE
HOMEDALE, ID 83628
Clinic/Center (Federally Qualified Health Center (FQHC))
108 E IDAHO AVE
HOMEDALE, ID 83628
Clinic/Center (Dental)
108 E IDAHO AVE
HOMEDALE, ID 83628
Pharmacy (Community/Retail Pharmacy)
108 E IDAHO AVE
HOMEDALE, ID 83628

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 Krysta Carlson's NPI number?

The NPI number for Krysta Carlson is 1740698356. It was assigned to this individual provider in the NPPES registry on July 27, 2014.

Where is Krysta Carlson located?

Krysta Carlson practices at 108 E Idaho Ave, Homedale, ID 83628. The listed phone number is (208) 337-3189.

What is Krysta Carlson's specialty?

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

Is Krysta Carlson enrolled in Medicare?

Yes. Krysta 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 Krysta Carlson was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.