1. Home
  2. Directory
  3. Mississippi
  4. Southaven
  5. Nurse Practitioner
  6. NPI Profile

DONNIELLE CARNEY NP
NPI 1104497932
Nurse Practitioner in Southaven, MS

Active since July 02, 2021PECOS EnrolledAccepts Medicare Assignment
78.88/100
CMS Quality Rating
1933 DAFFODIL DR, SOUTHAVEN, MS 38672(901) 598-3081 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2024, Jul 2, 2021 (2 updates tracked since 2021).

About Donnielle Carney Np NPPES

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

DONNIELLE CARNEY NP (NPI 1104497932) is an individual nurse practitioner in Southaven, Mississippi, licensed in Tennessee (28007) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104497932
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDONNIELLE CARNEYCredential: NP
Location Address1933 DAFFODIL DRSouthaven, MS 38672-9139
Mailing Address1933 Daffodil DrSouthaven, MS 38672-9139
Phone(901) 598-3081
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 2, 2021
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1104497932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in TN · 28007✔ Licensed in MS · 904452
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1933 DAFFODIL DR, Southaven, MS 38672
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donnielle Carney Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547658288
PECOS Enrollment IDI20211028001836
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 38672 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.45
Improvement Activities40
Cost94.34

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 Donnielle Carney's NPI number?

The NPI number for Donnielle Carney is 1104497932. It was assigned to this individual provider in the NPPES registry on July 2, 2021.

Where is Donnielle Carney located?

Donnielle Carney practices at 1933 Daffodil Dr, Southaven, MS 38672. The listed phone number is (901) 598-3081.

What is Donnielle Carney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Donnielle Carney enrolled in Medicare?

Yes. Donnielle Carney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Donnielle Carney was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.