RACHEL NICOLE CARLSON PA-C, ATC
NPI 1821630146
Physician Assistant in Brandon, FL

Q: What is Rachel Carlson's NPI number?

The NPI number for Rachel Carlson is 1821630146. It was assigned to this individual provider in the NPPES registry on October 9, 2019. The provider is also known as Rachel Nicole Bianca Atc.

Q: What is Rachel Carlson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rachel Carlson was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 09, 2019PECOS EnrolledAccepts Medicare Assignment

560 S LAKEWOOD DR STE 101, BRANDON, FL 33511(813) 978-9700(813) 558-6186 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2021, Oct 9, 2019 (2 updates tracked since 2019).

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About Rachel Nicole Carlson Pa-c, Atc NPPES

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

RACHEL NICOLE CARLSON PA-C, ATC (NPI 1821630146) is an individual physician assistant in Brandon, Florida, licensed in Florida (9112491) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains a secondary practice location in Brandon.

NPPES Registry Identity

NPI1821630146

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameRACHEL NICOLE CARLSONCredential: PA-C, ATC

Location Address560 S LAKEWOOD DR STE 101Brandon, FL 33511-5015

Mailing Address560 S Lakewood Dr Ste 101Brandon, FL 33511-5015 · (813) 978-9700 · Fax (813) 558-6186

Phone(813) 978-9700

Fax(813) 558-6186

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 9, 2019

Last NPPES UpdateFebruary 26, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2021

✔ NPI 1821630146 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 FL · 9112491

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.

560 S LAKEWOOD DR STE 101, Brandon, FL 33511

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Other Names 1

Former Name (1)Rachel Nicole Bianca Atc

Secondary Practice Location 1

Location 1721 W Robertson StBrandon, FL 33511-4934 · Phone (813) 684-3707

Other Identifiers 2

OtherMA473FL · Medicare Pin

Medicaid105589900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Rachel Nicole Carlson Pa-c, Atc 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 ID7517390750

PECOS Enrollment IDI20191203000304

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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

MATTHEW DAVID ANDERSON PT

Physical Therapist