Individual provider Active NPI

Kassidy Rose Carney, FNP-C

  • Family Nurse Practitioner
  • Albany, NY
National Provider Identifier
1932094489
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12240468 Issued in NY
Practice address
319 S Manning Blvd Ste 201
Albany, NY 12208-1743
Phone
(518) 516-6724
NPI assigned
Jun 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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 F12240468 NY Primary

Addresses

Primary practice location

319 S Manning Blvd Ste 201
Albany, NY 12208-1743

Mailing address

909 Ridgeview Cir
Castleton, NY 12033-4601
Phone (518) 944-9192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251001003313 NY Practitioner - Nurse Practitioner 5294231981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Obstetrics and Gynecology PCGroup PAC ID 0840470977, 12 clinicians

Practice addresses (Care Compare)

319 S Manning Blvd
Suite 201
Albany, NY 12208-1743
Phone (518) 489-3296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F12240468NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Obstetrics & Gynecology PC CurrentSince Aug 4, 2025 Accepting new patients

Locations

319 S Manning Blvd
Ste 201
Albany, NY 12208
Phone (518) 489-3296

Interoperability endpoints

  • Direct secure messaging: npkassidycarney@albanyobgyn.medentdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1932094489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEVIEW CIR",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120334601",
            "telephone_number": "518-944-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD STE 201",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081743",
            "telephone_number": "518-516-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "KASSIDY",
        "middle_name": "ROSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F12240468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.