DANIELLE LAUREN CARSON (PA) – Medical Physician Assistant, NPI 1457883530

DANIELLE LAUREN CARSON (PA) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. MA059768 (PA). The NPI Number for DANIELLE LAUREN CARSON (PA) is 1457883530

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DANIELLE LAUREN CARSON (PA)
NPI
1457883530
Phone
(267) 614-8712
Address
3401 CIVIC CENTER BLVD
Enumeration Date
29 March 2017
Last Update Date
2 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2155796155
Graduation Year
2017 (9 years ago)
PAC ID
3779849187
Group Practice PAC ID
6103003942
Professional Enrollment ID
I20200803000199
Address ID
PA190675515YA908XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for DANIELLE LAUREN CARSON (PA)

  • Children's Hospital of Philadelphia, 3401, Civic Center Boulevard, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    PHILADELPHIA, PA 191044319

    Phone: (267) 614-8712

    Type: Mailing

  • 903 FLORAL VALE BLVD

    YARDLEY, PA 190675515

    Phone: (215) 579-6155

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 111 Open Payments records for all available years, with a total value of $3,976.

Total Amount is formed as General ($3,976) + Research ($0) + Ownership ($0) = $3,976.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,608).

Total Amount

$3,976

General + Research + Ownership

Payments

111

Total payment records

General Amount

$3,976

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-08-03

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
I20200803000199IPhysician AssistantPATBD

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 19104)

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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: 6103003942View full group profile
NameSpecialtyState
D E R M A T O L O G YPA
Dermatology, Micrographic Dermatologic Surgery (Mds)PA
Dermatology, Micrographic Dermatologic Surgery (Mds)PA
D E R M A T O L O G YPA
Physician AssistantPA
Physician AssistantNY
D E R M A T O L O G YPA
D E R M A T O L O G YPA
Physician AssistantPA
D E R M A T O L O G YPA

Reviews

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Frequently asked questions

What identifier follows DANIELLE LAUREN CARSON (PA) across health systems?
The NPI 1457883530 uniquely identifies DANIELLE LAUREN CARSON (PA) in U.S. healthcare data.
Is DANIELLE LAUREN CARSON (PA) currently accepting referrals based on NPI status?
Registry metadata lists DANIELLE LAUREN CARSON (PA) as active.
How should patients interpret DANIELLE LAUREN CARSON (PA)'s specialty?
The extract shows Medical Physician Assistant for DANIELLE LAUREN CARSON (PA). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DANIELLE LAUREN CARSON (PA)?
DANIELLE LAUREN CARSON (PA) is associated with Philadelphia, Pennsylvania in the same public data insurers reference.
Who maintains DANIELLE LAUREN CARSON (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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