Nicole Lynn Carney, D.O.
Individual provider Active NPI Family Medicine Physician · So Berwick, ME
NPI 1699064584 · NPPES record last updated Oct 18, 2018
Key facts
- NPI
- 1699064584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO2464 (ME)
- Practice address
- 57 Portland Road
So Berwick, ME 04090 - Phone
- (207) 384-9212
- Fax
- (207) 384-2008
- NPI assigned
- Mar 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- York Hospital
Practice addresses (Care Compare)
15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321
Hospital & facility affiliations
- Wentworth Home Care & Hospice, an Amedisys Partner
- Cornerstone Vna
- Wentworth Home Care & Hospice, an Amedisys Partner
- York Hospital
- Wentworth-Douglass Hospital
- Exeter Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141027000487 | ME | Practitioner - Family Practice | 1052558798 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Pathology Inc | Current | Accepting new patients | |
| York Hospital | Family Medicine | Current |
Accepting new patients |
Locations
57 Portland St
Ste 2A
South Berwick, ME 03908
Phone (207) 384-9212
57 Portland St
South Berwick, ME 03908
Phone (207) 384-7260
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
Interoperability endpoints
- nicole.carney@yh.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | SC | ||
| Family Medicine Physician | 207Q00000X | DO2464 | ME | Yes |
Addresses
Primary practice location
57 Portland Road
So Berwick, ME 04090
Mailing address
853 N Church St Ste 510
Spartanburg, SC 29303-3077
Other practice location 1
853 N Church St Ste 510
Spartanburg, SC 29303-3077
Phone (864) 560-7001
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.