Active NPI
Nicole Lynn Carney, D.O.
- Family Medicine Physician
- So Berwick, ME
National Provider Identifier
1699064584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO2464
- Practice address
- 57 Portland Road
So Berwick, ME 04090 - Phone
- (207) 384-9212
- Fax
- (207) 384-2008
- NPI assigned
- Mar 31, 2011
- Last updated
- Oct 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | SC | ||
| Family Medicine Physician | 207Q00000X | DO2464 | ME | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
South Berwick, ME 03908
Phone (207) 384-7260
57 Portland St
Ste 2A
South Berwick, ME 03908
Phone (207) 384-9212
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
Interoperability endpoints
- nicole.carney@yh.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Exeter, NH
- NPI 1154651230
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
-
- Home Health Agency
- Rochester, NH
- NPI 1508829045
-
- General Acute Care Hospital
- Exeter, NH
- NPI 1437158433
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
-
dba Wentworth Home Care and Hospice, an Amedisys Partner
- Home Health Agency
- Somersworth, NH
- NPI 1568436194
-
dba Wentworth Home Care and Hospice, an Amedisys Partner
- Community Based Hospice Care Agency
- Somersworth, NH
- NPI 1831163211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1699064584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 N CHURCH ST STE 510",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 PORTLAND ROAD",
"city": "SO BERWICK",
"state": "ME",
"postal_code": "04090",
"telephone_number": "207-384-9212",
"fax_number": "207-384-2008"
}
],
"practiceLocations": [
{
"address_1": "853 N Church St Ste 510",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293033077",
"country_code": "US",
"telephone_number": "864-560-7001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARNEY",
"first_name": "NICOLE",
"middle_name": "LYNN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "DO2464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.