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

Elsie Carpenter, PA

Individual provider Physician Assistant · NPI 1346041910

Elsie Carpenter, PA is a Physician Assistant in Provo, Utah. Qualified in 2025, 1 year ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1034 N 500 W Bldg A
Provo, UT 84604-3380
Phone: (801) 357-3367
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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 14225469-1206 (UT)

Record details

NPI number1346041910
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 20, 2025
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing addressPo Box 27128, Attn: Credentialing, Salt Lake City, UT 84127-0128

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 Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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