Active NPI
Juanita Carnes, NP
- Nurse Practitioner
- Westfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN177561
- Practice address
- 115 W Silver St
Westfield, MA 01085-3628 - Phone
- (413) 568-2811
- Fax
- (610) 834-2862
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Family Medicine Physician
- Northampton, MA
- NPI 1295787919
-
- Urgent Care Clinic/Center
- Brookfield, CT
- NPI 1730479254
-
- Psychiatry Physician
- Northampton, MA
- NPI 1942605373
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
-
- Urgent Care Clinic/Center
- Southampton, MA
- NPI 1932669272
-
- Anatomic Pathology & Clinical Pathology Physician
- Northampton, MA
- NPI 1750326161
-
- Urgent Care Clinic/Center
- Southbury, CT
- NPI 1194993980
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
Care Compare affiliation Hospital -
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
Care Compare affiliation Hospital
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cooley Dickinson Hospital Inc
Mass General Brigham Medical Group Western Massachusetts Inc
Urgent Care Medical Associates, LLC
Practice addresses (Care Compare)
12 College Hwy
Southampton, MA 01073-9406
Phone (413) 527-1105
30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2330
55 Hazard Ave
Enfield, CT 06082-3826
Phone (860) 650-3848
Hospital & facility affiliations
- Cooley Dickinson Hospital Inc,the
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100914000289 | MA | Practitioner - Nurse Practitioner | 3678698719 | Reassigns benefits to 2 organizations |
| I20191111000045 | CT | Practitioner - Nurse Practitioner | 3678698719 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8161 | CT | MD | Professional Counselor |
| RN177561 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooley Dickinson Hospital Inc | Current | Accepting new patients | |
| Cooley Dickinson Hospital Inc | Current |
Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Current |
Accepting new patients | |
| Hampshire Pathologists, Inc. | Current | Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients | |
| WRK Ventures, LLC | Past | Accepting new patients |
Locations
30 Locust St
Northampton, MA 01060
Phone (413) 582-2000
12 College Hwy
Southampton, MA 01073
Phone (413) 527-1105
Interoperability endpoints
- carnes.juanita.cdh@direct.partners.masshiway.net
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8161 | CT | |
| Nurse Practitioner | 363L00000X | RN177561 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
115 W Silver St
Westfield, MA 01085-3628
Mailing address
1000 River Rd
Suite 100
Conshohocken, PA 19428-2439
Phone (800) 355-0505
Other practice location 1
55 Hazard Ave
Enfield, CT 06082-3826
Phone (860) 745-9911
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0700631 | Medicaid | MA | |
| 500030036 | Other | MA | RAILROAD MEDICARE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2020.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1275575342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 RIVER RD",
"address_2": "SUITE 100",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282439",
"telephone_number": "800-355-0505",
"fax_number": "610-834-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W SILVER ST",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010853628",
"telephone_number": "413-568-2811",
"fax_number": "610-834-2862"
}
],
"practiceLocations": [
{
"address_1": "55 Hazard Ave",
"address_purpose": "LOCATION",
"city": "Enfield",
"state": "CT",
"postal_code": "060823826",
"country_code": "US",
"telephone_number": "860-745-9911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARNES",
"first_name": "JUANITA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "8161",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN177561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0700631",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500030036",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.