Mia Leigh Carlson, MMSPA
NPI 1639970080ActiveIndividual· Physician Assistant· Englewood, NJ
Physician Assistant (MMSPA) with Englewood Spine Associates LLC, practicing in Englewood, New Jersey. Enrolled in Medicare as practitioner - physician assistant. Lists Englewood Hospital and Medical Center as a hospital affiliation.
Overview
| NPI | 1639970080 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MMSPA |
| Sole proprietor | No |
| NPI issued | Mar 21, 2025 |
| Last updated in NPPES | Jun 6, 2025 |
| Certified by provider | Jun 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NJ) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Englewood Spine Associates LLCEnglewood, NJ · 2 clinicians
Hospital affiliation
- Englewood Hospital and Medical CenterEnglewood, NJ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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