Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa Earl

Individual provider Physician Assistant · NPI 1346995842

Carissa Earl is a Physician Assistant in Lehi, Utah. Graduated from University of Texas Medical School at San Antonio in 2021, 5 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Trained at
University of Texas Medical School at San Antonio
Licensed in
UT
In the registry since
2022
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Practice location Address checks out

2183 W Main St
Lehi, UT 84043-6760
Phone: (385) 203-1215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12630302-1206 (UT)

Record details

NPI number1346995842
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 14, 2022
Last updated in NPPESFebruary 14, 2022
Certification dateFebruary 14, 2022
Mailing address1055 N 500 W, Attn: Credentialing, Provo, UT 84604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2021 (5 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lehi