Individual provider Active NPI

Laura Diane Carnevale, FNP-C

  • Family Nurse Practitioner
  • Utica, NY
National Provider Identifier
1962617159
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334980 Issued in NY
Practice address
1450 Champlain Ave
Utica, NY 13502-1350
Phone
(315) 624-9000
NPI assigned
May 11, 2007
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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 334980 NY Primary

Addresses

Primary practice location

1450 Champlain Ave
Utica, NY 13502-1350

Mailing address

PO Box 821
New Hartford, NY 13413-0821
Phone (315) 624-9000

Other practice location 1

2305 Genesee St
Utica, NY 13501-6107
Phone (315) 624-9000

Other identifiers 1

IdentifierTypeStateIssuer
03040824MedicaidNY

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
I20071119000420 NY Practitioner - Nurse Practitioner 8022106418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Critical Care and Sleep Medicine PLLCGroup PAC ID 1052561651, 4 clinicians

Practice addresses (Care Compare)

1450 Champlin Ave
Utica, NY 13502-3662
Phone (315) 624-9004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334980NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Disorders Lab of Central New York, LLC CurrentSince Dec 1, 2023 Accepting new patients
Pulmonary Critical Care and Sleep Medicine PLLC CurrentSince Sep 1, 2014 Accepting new patients
Kidney and Hypertension Consultant, PLLC PastSince Sep 1, 2014 Accepting new patients
Rome Medical Practice PC PastSince Aug 12, 2019 Accepting new patients

Locations

240 Broad St
Oneida, NY 13421
Phone (315) 363-9214

111 E Chestnut St
Ste 2
Rome, NY 13440
Phone (315) 624-9004

7845 Rome Westernville Rd
Rome, NY 13440
Phone (315) 337-2500

1450 Champlin Ave
Ste 1
Utica, NY 13502
Phone (315) 624-2900

1450 Champlin Ave
Utica, NY 13502
Phone (315) 624-8127

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Interoperability endpoints

  • Direct secure messaging: lauracarnevalefnp@mvmp.medentdirect.com
  • Direct secure messaging: carnevl@hiemail.healtheconnections.org

Organizations & group practices 4

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.

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1962617159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134130821",
            "telephone_number": "315-624-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAMPLAIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135021350",
            "telephone_number": "315-624-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135016107",
            "country_code": "US",
            "telephone_number": "315-624-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEVALE",
        "first_name": "LAURA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03040824",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.