Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carson Douglas Minick, PA-S

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1366288961

Carson Douglas Minick, PA-S is a Physician Assistant in Omaha, Nebraska. Qualified in 2025, 1 year ago. Practices with Clarksville Emergency Group PC, a 152-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2024
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Practice location Address checks out

42ND And Emile St 3225 S 44th Street Omaha NE 68105
Omaha, NE 68198-0001
Phone: (402) 559-6673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence 0000000000 (IN)

Record details

NPI number1366288961
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedJuly 2, 2024
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Clarksville Emergency Group Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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