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

Carson Homer

Individual provider Physician Assistant · NPI 1306462304

Carson Homer is a Physician Assistant in Orem, Utah. Qualified in 2020, 6 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1715 S 40 W
Orem, UT 84058-8409
Phone: (801) 661-3098
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1055 N 500 W Bldg A, Provo, UT 84604-3305 — (801) 812-5033

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7625522-1206 (UT)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306462304
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2020
Last updated in NPPESFebruary 2, 2021
Certification dateFebruary 2, 2021
Mailing address1715 S 40 W, Orem, UT 84058-8409

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orem