Individual provider Active NPI

Carmen Maria Sincavich, CFNP

  • Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1982171443
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN90999 Issued in WV
Practice address
58 16TH St Ste 500
Wheeling, WV 26003-3660
Phone
(304) 242-7751
Fax
(304) 242-7254
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN90999 WV Primary

Addresses

Primary practice location

58 16TH St Ste 500
Wheeling, WV 26003-3660

Mailing address

58 16TH St Ste 500
Wheeling, WV 26003-3660
Phone (304) 242-7751

Other names 1

  • Ms. Carmen Maria Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190306001259 WV Practitioner - Nurse Practitioner 6103162888 Reassigns benefits to 1 organization
I20221122001508 OH Practitioner - Nurse Practitioner 6103162888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, IncGroup PAC ID 3577650076, 6 clinicians

Practice addresses (Care Compare)

103 Plaza Dr
Suite G
Saint Clairsville, OH 43950-7729
Phone (304) 242-7751

58 16TH St
Suite 500
Wheeling, WV 26003-3610
Phone (304) 242-7751

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN90999WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glorioso General Practice, Inc. CurrentSince Jul 27, 2022 Accepting new patients

Locations

103 Plaza Dr
Ste G
St Clairsvle, OH 43950
Phone (304) 242-7751

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1982171443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 16TH ST STE 500",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033660",
            "telephone_number": "304-242-7751",
            "fax_number": "304-242-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 16TH ST STE 500",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033660",
            "telephone_number": "304-242-7751",
            "fax_number": "304-242-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCAVICH",
        "first_name": "CARMEN",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN90999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "DAVIS",
            "middle_name": "MARIA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.