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JEANINE MICHELLE CARNIVAL MS, RN, AGNP-C, CCRN
NPI 1033764006
Nurse Practitioner - Adult Health in Stony Brook, NY

Active since August 07, 2019PECOS Enrolled
101 NICHOLLS ROAD STONY BROOK HOSPITA, STONY BROOK, NY 11794(631) 444-1665 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeanine Michelle Carnival Ms, Rn, Agnp-c, Ccrn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANINE MICHELLE CARNIVAL MS, RN, AGNP-C, CCRN (NPI 1033764006) is an individual adult health provider in Stony Brook, New York, licensed in New York (F308885) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033764006
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJEANINE MICHELLE CARNIVALCredential: MS, RN, AGNP-C, CCRN
Location Address101 NICHOLLS ROAD STONY BROOK HOSPITAStony Brook, NY 11794-0001
Mailing Address101 Nicholls Road Stony Brook HospitaStony Brook, NY 11794-0001 · (631) 444-1665
Phone(631) 444-1665
Sole ProprietorYes
Enumeration DateAugust 7, 2019
✔ NPI 1033764006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F308885
101 NICHOLLS ROAD STONY BROOK HOSPITA, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanine Michelle Carnival Ms, Rn, Agnp-c, Ccrn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanine Carnival's NPI number?

The NPI number for Jeanine Carnival is 1033764006. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Jeanine Carnival located?

Jeanine Carnival practices at 101 Nicholls Road Stony Brook Hospita, Stony Brook, NY 11794. The listed phone number is (631) 444-1665.

What is Jeanine Carnival's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jeanine Carnival enrolled in Medicare?

Yes. Jeanine Carnival is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeanine Carnival was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.