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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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jeanine Carnival reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Bay Medical Care P.C.
19 mi
Emergency Medicine
625 MONTAUK HWY
Center Moriches, NY 11934
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1366569352 (631) 878-7134
New York University
1,060 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Jeanine Carnival's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanine Carnival reassigns Medicare benefits to 2 organizations: South Bay Medical Care P.C. (Center Moriches, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeanine Carnival's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.