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BRIDGET PATRICIA CARNIVALE FNP-BC
NPI 1184505075
Nurse Practitioner - Family in Latham, NY

Active since September 09, 2025PECOS Enrolled
6 WELLNESS WAY STE 101, LATHAM, NY 12110(518) 782-7733(518) 782-0800 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bridget Patricia Carnivale Fnp-bc NPPES

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

BRIDGET PATRICIA CARNIVALE FNP-BC (NPI 1184505075) is an individual family provider in Latham, New York, licensed in New York (F357780) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1184505075
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRIDGET PATRICIA CARNIVALECredential: FNP-BC
Location Address6 WELLNESS WAY STE 101Latham, NY 12110-2142
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 782-7733
Fax(518) 782-0800
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1184505075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F357780
6 WELLNESS WAY STE 101, Latham, NY 12110
Open in Google Maps ↗

Other Names 1

Former Name (1)Bridget Patricia Fitzgibbon

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridget Patricia Carnivale Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658868880
PECOS Enrollment IDI20251013002153
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 Reassignment

Medicare enrollment records show Bridget Carnivale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Physicians, PLLC
0.3 mi
Internal Medicine
6 WELLNESS WAY STE 201
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • 474 clinicians in this Medicare group
NPI 1922048370 (518) 782-3700

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 12110 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTHONY F MALONE M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
6 WELLNESS WAY STE 101
LATHAM, NY 12110
Albany County (518) 782-7733
MRS. APRIL MARIE ST. PETER FNP
Nurse Practitioner (Family)
6 WELLNESS WAY STE 101
LATHAM, NY 12110
Albany County (518) 782-7733
COMMUNITY CARE PHYSICIANS, PC
Pediatrics (Developmental - Behavioral Pediatrics)
6 WELLNESS WAY STE 101
LATHAM, NY 12110
Albany County (518) 782-7733
TAYLOR SUZANNE MOORE FNP-C
Nurse Practitioner (Family)
6 WELLNESS WAY STE 101
LATHAM, NY 12110
Albany County (518) 782-7733
REBECCA ROSE SHEEHAN PNP
Nurse Practitioner (Pediatrics)
6 WELLNESS WAY STE 101
LATHAM, NY 12110
Albany County (518) 782-7733
MATTHEW THOMAS HICKLING PNP
Nurse Practitioner (Pediatrics)
6 WELLNESS WAY STE 101
LATHAM, NY 12110
Albany County (518) 782-7733
ERIN VEENKER LARRABEE PNP
Nurse Practitioner (Pediatrics)
6 WELLNESS WAY STE 101
LATHAM, NY 12110
Albany County (518) 782-7733

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 Bridget Carnivale's NPI number?

The NPI number for Bridget Carnivale is 1184505075. It was assigned to this individual provider in the NPPES registry on September 9, 2025. The provider is also known as Bridget Patricia Fitzgibbon.

Where is Bridget Carnivale located?

Bridget Carnivale practices at 6 Wellness Way Ste 101, Latham, NY 12110. The listed phone number is (518) 782-7733.

What is Bridget Carnivale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bridget Carnivale enrolled in Medicare?

Yes. Bridget Carnivale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bridget Carnivale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bridget Carnivale reassigns Medicare benefits to Community Care Physicians, PLLC (Latham, NY). The 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 Bridget Carnivale'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 Bridget Carnivale was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.