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

Madeline Grace Carlson

Individual provider Physician Assistant · NPI 1629700968

Madeline Grace Carlson is a Physician Assistant in Duluth, Minnesota. Qualified in 2023, 3 years ago. Practices with Advanced Dermatology Care Medical Cosmetic and Surgery PA, a 7-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022
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Practice location Address checks out

1200 Kenwood Ave
Duluth, MN 55811-4199
Phone: (218) 723-6289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1629700968
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022
Mailing address1200 Kenwood Ave, Duluth, MN 55811-4199

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Advanced Dermatology Care Medical Cosmetic And Surgery Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Duluth