MRS. ROSE MARGARET CARLSON (PA) – Physician Assistant, NPI 1225670607

MRS. ROSE MARGARET CARLSON (PA) is a healthcare provider. based in Colton, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 14901 (MN). The NPI Number for MRS. ROSE MARGARET CARLSON (PA) is 1225670607

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ROSE MARGARET CARLSON (PA)
NPI
1225670607
Phone
(909) 580-1000
Address
400 N Pepper Ave
Enumeration Date
17 October 2019
Last Update Date
18 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206825225
Graduation Year
2019 (7 years ago)
PAC ID
0446672448
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20240625003096
Address ID
MN553021109AN440XXEXXX400

Contacts

Secure Messaging
rcarlson407273@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MRS. ROSE MARGARET CARLSON (PA)

  • 400 N Pepper Ave

    Colton, CA 923241819

    Phone: (909) 580-1000

    Type: Location

  • 11832, Bren Road, Minnetonka, Hennepin County, Minnesota, 55343, United States

    MINNETONKA, MN 553439464

    Phone: (218) 469-1294

    Type: Mailing

  • 400, Pepper Avenue, West Colton, Colton, San Bernardino County, California, 92324, United States

    COLTON, CA 923241819

    Phone: (909) 580-1000

    Type: Location

  • 18465 ORCHARD TRL

    LAKEVILLE, MN 55044

    Phone: (952) 428-0950

    Type: Location

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $527.

Total Amount is formed as General ($527) + Research ($0) + Ownership ($0) = $527.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Astellas Pharma US Inc ($147).

Total Amount

$527

General + Research + Ownership

Payments

12

Total payment records

General Amount

$527

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200621000002IPhysician AssistantCATBD
I20240625003096IPhysician AssistantMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587573613View full group profile

Reviews

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Frequently asked questions

How do I look up MRS. ROSE MARGARET CARLSON (PA) by NPI?
Use NPI 1225670607 when you need to reference MRS. ROSE MARGARET CARLSON (PA) in forms, claims, or directories.
Is MRS. ROSE MARGARET CARLSON (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. ROSE MARGARET CARLSON (PA)?
The page reflects Physician Assistant for MRS. ROSE MARGARET CARLSON (PA). Clinical services aligned with this taxonomy classification.
Where is MRS. ROSE MARGARET CARLSON (PA)'s primary listing?
We display Colton, California because that is what the record indicates for MRS. ROSE MARGARET CARLSON (PA).
What if Colton, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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