Individual provider Active NPI

Rebecca Carcana, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Middle Village, NY
National Provider Identifier
1114668357
Registry record updated Apr 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403806 Issued in NY
Practice address
5821 80TH St
Middle Village, NY 11379-5317
Phone
(347) 697-6833
NPI assigned
Apr 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403806 NY Primary

Addresses

Primary practice location

5821 80TH St
Middle Village, NY 11379-5317

Mailing address

5821 80TH St
Middle Village, NY 11379-5317
Phone (718) 651-5868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722001418 NY Practitioner - Nurse Practitioner 2163803081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Transitional Services for New York, Inc.Group PAC ID 7719932540, 13 clinicians

Practice addresses (Care Compare)

9027 Sutphin Blvd
Suite 5
Jamaica, NY 11435-3648
Phone (718) 526-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
403806NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Services for New York, Inc CurrentSince Jul 6, 2022 Accepting new patients
Transitional Services for New York,Inc. PastSince Jul 6, 2022 Accepting new patients

Locations

9027 Sutphin Blvd
Ste 5
Jamaica, NY 11435
Phone (718) 526-8400

1016 162nd St
Whitestone, NY 11357
Phone (718) 746-6647

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1114668357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 80TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113795317",
            "telephone_number": "718-651-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 80TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113795317",
            "telephone_number": "347-697-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCANA",
        "first_name": "REBECCA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

Verify at the official NPI Registry.