MADONNA SUSAN CARR (P.A.-C) – Medical Physician Assistant, NPI 1619153608

MADONNA SUSAN CARR (P.A.-C) is a healthcare provider. based in North liberty, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. 005082 (GA). The NPI Number for MADONNA SUSAN CARR (P.A.-C) is 1619153608

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MADONNA SUSAN CARR (P.A.-C)
NPI
1619153608
Phone
(319) 665-3073
Address
1865 LININGER LANE
Enumeration Date
21 January 2008
Last Update Date
27 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3196425543
Graduation Year
2007 (19 years ago)
PAC ID
7113097437
Group Practice PAC ID
1355242496
Professional Enrollment ID
I20090925000324
Address ID
IA523011261MA300XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,648 PHYSICIAN ASSISTANT in IA

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Provider Addresses for MADONNA SUSAN CARR (P.A.-C)

  • Lininger Lane, North Liberty, Johnson County, Iowa, 52317, United States

    MERCY CARE URGENT CARE NORTH LIBERTY

    NORTH LIBERTY, IA 523179575

    Phone: (319) 665-3073

    Type: Mailing

  • 1765, Lininger Lane, North Liberty, Johnson County, Iowa, 52317, United States

    NORTH LIBERTY, IA 523172316

    Phone: (319) 665-3073

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-09-25

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090925000324IPhysician AssistantIATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes11999$0
99214Established patient office or other outpatient visit, 30-39 minutes4441$0
99202New patient office or other outpatient visit, 15-29 minutes3434$0
81002Urinalysis, manual test2521$0
99203New patient office or other outpatient visit, 30-44 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 52317)

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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: 1355242496View full group profile
NameSpecialtyState
Nurse PractitionerIA
Family PracticeIA
Nurse PractitionerIA
Internal MedicineOR
-IA
Physician AssistantIA
Nurse PractitionerIA
Nephrology, Internal MedicineIA
Physician AssistantIA
Pulmonary Disease, Internal MedicineIA

Reviews

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Frequently asked questions

What is the registry number for MADONNA SUSAN CARR (P.A.-C)?
The registry entry for MADONNA SUSAN CARR (P.A.-C) shows NPI 1619153608.
Is MADONNA SUSAN CARR (P.A.-C)'s NPI status active today?
Active status means MADONNA SUSAN CARR (P.A.-C)'s NPI record is not deactivated in the public file.
Which specialty label fits MADONNA SUSAN CARR (P.A.-C)?
NPPES ties MADONNA SUSAN CARR (P.A.-C) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MADONNA SUSAN CARR (P.A.-C) in North Liberty, Iowa?
For routing, start with North Liberty, Iowa for MADONNA SUSAN CARR (P.A.-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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