NPIMap

Individual provider Active NPI

Nicole Marie Carnivale, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Mount Holly, NJ
National Provider Identifier
1285410399
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14910800 Issued in NJ
Practice address
231 High St FL 1
Mount Holly, NJ 08060-1450
Phone
(609) 534-5998
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14910800 NJ Primary

Addresses

Primary practice location

231 High St FL 1
Mount Holly, NJ 08060-1450

Mailing address

231 High St FL 1
Mount Holly, NJ 08060-1450
Phone (609) 534-5998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927004090 NJ Practitioner - Nurse Practitioner 0345694147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Jefferson Medical College of Thomas Jefferson University, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Physician Group, PCGroup PAC ID 9234392903, 5 clinicians

Practice addresses (Care Compare)

231 High St
FL 1
Mount Holly, NJ 08060-1450
Phone (609) 534-5998

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089
  • Moorestown Visiting Nurse Association Home health agency, Moorestown, NJ, CCN 317048
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011

Merit-based Incentive Payment System (MIPS)

Final score
80.44 of 100Reported as group
Quality
56.57
Improvement activities
40
Cost
65.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14910800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physician Group, PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

231 High St
Fl 1
Mount Holly, NJ 08060
Phone (609) 534-5998

Interoperability endpoints

  • Direct secure messaging: nicolecarnivale@mpgp-nj.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1285410399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 HIGH ST FL 1",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601450",
            "telephone_number": "609-534-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 HIGH ST FL 1",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601450",
            "telephone_number": "609-534-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNIVALE",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14910800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.