CARRIE DAVIDSON (PA) – Physician Assistant, NPI 1609389329
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for CARRIE DAVIDSON (PA)
35200 BOB HOPE DR
RANCHO MIRAGE, CA 922701748
Phone: (760) 328-8884
Fax: (760) 202-3931
Type: Mailing
1224, North 1000 West, Clinton, Davis County, Utah, 84015, United States
CLINTON, UT 840158824
Phone: (937) 902-9891
Type: Mailing
Vista Lane, Carson City, Nevada, 89703, United States
CARSON CITY, NV 897034643
Phone: (775) 882-2067
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 91 Open Payments records for all available years, with a total value of $2,197.
Total Amount is formed as General ($2,197) + Research ($0) + Ownership ($0) = $2,197.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($539).
Total Amount
$2,197
General + Research + Ownership
Payments
91
Total payment records
General Amount
$2,197
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $539 |
| GENZYME CORPORATION | $523 |
| Amgen Inc. | $256 |
| Novartis Pharmaceuticals Corporation | $107 |
| Regeneron Healthcare Solutions, Inc. | $86 |
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: 2020-08-11
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 |
|---|---|---|---|---|
| I20200811003983 | I | Physician Assistant | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92270)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | IA | |
| Physician Assistant | CA |
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