MRS. CARLA J NIX (PA-C) – Physician Assistant, NPI 1164656294
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
629 PHYSICIAN ASSISTANT in AR
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Provider Addresses for MRS. CARLA J NIX (PA-C)
NEA Baptist Clinic, 4802, East Johnson Avenue, Jonesboro, Craighead County, Arkansas, 72401, United States
JONESBORO, AR 724018413
Phone: (870) 936-8000
Fax: (870) 934-3636
Type: Location
Jonesboro Post Office, West Broad Street, Jonesboro, Union County, Illinois, 62952, United States
JONESBORO, AR 724031960
Phone: (870) 936-8000
Fax: (870) 934-3636
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 134 Open Payments records for all available years, with a total value of $2,629.
Total Amount is formed as General ($2,629) + Research ($0) + Ownership ($0) = $2,629.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($491).
Total Amount
$2,629
General + Research + Ownership
Payments
134
Total payment records
General Amount
$2,629
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $491 |
| ABBVIE INC. | $454 |
| LEO Pharma Inc. | $356 |
| Incyte Corporation | $269 |
| Sun Pharmaceutical Industries Inc. | $210 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-06-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090609000441 | I | Physician Assistant | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 653 | 134 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 508 | 337 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 227 | 187 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 114 | 103 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 94 | 82 | $0 |
Insurance plans in this area (ZIP 72401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AR | 20610 | Aspiration and/or injection of large joint or joint capsule | 26 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AR | |
| Internal Medicine | AR | |
| - | CA | |
| Nurse Practitioner | AR | |
| - | AR | |
| - | TN | |
| - | AR | |
| Nurse Practitioner | TN | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional Radiology | TN | |
| Nurse Practitioner | AR |
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