MS. Krysta Nicole Carlson, PA-C
MS. Krysta Nicole Carlson, PA-C is a Physician Assistant in Homedale, Idaho. Qualified in 2014, 12 years ago. Practices with Clinicas Del Camino Real Inc, a 99-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Idaho.
- Years since qualifying
- 12
- Licensed in
- CA, ID
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
108 E Idaho AveHomedale, ID 83628-5003
Phone: (208) 337-3189
Fax: (208) 466-5359
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)
- 1000 Newbury Rd, Newbury Park, CA 91320-6435 — (805) 498-3640
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5081403 (ID) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA51782 (CA) |
Record details
| NPI number | 1740698356 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 27, 2014 |
| Last updated in NPPES | June 5, 2026 |
| Certification date | June 5, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Clinicas Del Camino Real Inc — 99 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |