Individual provider Active NPI

Carla Patricia McInerney, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • North Dartmouth, MA
National Provider Identifier
1861903403
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2318836 Issued in MA
Practice address
237A State Rd
North Dartmouth, MA 02747-2612
Phone
(508) 979-1100
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN2318836 MA Primary

Addresses

Primary practice location

237A State Rd
North Dartmouth, MA 02747-2612

Mailing address

237A State Rd
North Dartmouth, MA 02747-2612
Phone (774) 365-1205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210515000009 MA Practitioner - Nurse Practitioner 8325457716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Medical Associates LLCGroup PAC ID 0446376487, 7 clinicians

Practice addresses (Care Compare)

237 A State Rd
North Dartmouth, MA 02747-2612
Phone (508) 979-1100

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2318836MAMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: carla.mcinerney@939060233043972.direct.elationemr.com

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 1

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1861903403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237A STATE RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027472612",
            "telephone_number": "774-365-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237A STATE RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027472612",
            "telephone_number": "508-979-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINERNEY",
        "first_name": "CARLA",
        "middle_name": "PATRICIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2318836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.