MARY ANN CARLSON (PA-C) – Physician Assistant, NPI 1629011663
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
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Provider Addresses for MARY ANN CARLSON (PA-C)
1102, Hospital Drive, McPherson, McPherson County, Kansas, 67460, United States
MCPHERSON, KS 674602318
Phone: (620) 245-5000
Fax: (620) 245-5099
Type: Location
PO BOX 467
NEWTON, KS 671140467
Phone: (316) 284-6400
Fax: (316) 284-6490
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $36.
Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: IRONSHORE PHARMACEUTICALS INC. ($20).
Total Amount
$36
General + Research + Ownership
Payments
2
Total payment records
General Amount
$36
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
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: 2005-04-19
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 |
|---|---|---|---|---|
| I20050419001082 | I | Physician Assistant | KS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 213 | 138 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 31 | $0 |
Insurance plans in this area (ZIP 67460)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | KS | |
| Clinical Social Worker | KS | |
| Nurse Practitioner | KS | |
| P S Y C H I A T R Y | KS | |
| - | KS | |
| - | KS | |
| Clinical Psychologist | KS | |
| Clinical Social Worker | KS | |
| Physician Assistant | KS | |
| Marriage And Family Therapist | KS |
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