Zachary Carlson, PA-C
Physician Assistant in New Brighton, MN. Individual provider (NPI-1).
NPI number1508610072
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1508610072
- Entity type
- Individual (NPI-1)
- Name
- Zachary Carlson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2024
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 14973 | MN | Yes |
| 208800000X | Urology | 14973 | MN |
Practice location
900 Long Lake Rd Ste 150New Brighton, MN 55112-6414
Phone 612-213-2370 · Fax 612-524-5571
Mailing address
900 Long Lake Rd Ste 150New Brighton, MN 55112-6414
Phone 612-213-2370 · Fax 612-524-5571
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Physician Assistant providers in New Brighton · All 770 providers in New Brighton
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