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CARLY JO DIVINEY APRN FNP-C
NPI 1235928425
Nurse Practitioner - Family in Tyler, TX

Active since May 05, 2025PECOS EnrolledAccepts Medicare Assignment
800 E DAWSON ST, TYLER, TX 75701(903) 606-4262 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2025, May 5, 2025 (2 updates tracked since 2025).

About Carly Jo Diviney Aprn Fnp-c NPPES

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

CARLY JO DIVINEY APRN FNP-C (NPI 1235928425) is an individual family provider in Tyler, Texas, licensed in Texas (F06250973) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1235928425
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLY JO DIVINEYCredential: APRN FNP-C
Location Address800 E DAWSON STTyler, TX 75701-2036
Mailing Address800 E Dawson StTyler, TX 75701-2036
Phone(903) 606-4262
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 5, 2025
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1235928425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · F06250973
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 899590 (TX)
800 E DAWSON ST, Tyler, TX 75701
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

Carly Jo Diviney Aprn Fnp-c 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 ID3678065281
PECOS Enrollment IDI20251121001253
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

KIRBY KILE CRNA
Anesthesiology
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 593-8441
DAVID A BRICKEY DO
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 525-1914
DR. ESMAEL FANTAW YIMER MD
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-7264
SALEEM ZAIDI M.D.
Anesthesiology (Critical Care Medicine)
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-5864
DR. JAMES MICHAEL WILSON MD, MPH
Emergency Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 525-1914
DR. SAILAJA SAKAM M.D.
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 606-4129
JAMES BLAKE KNUTSON MD
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 510-1186
DR. JAMIL AKHTAR ABBASI M.D.
Internal Medicine (Critical Care Medicine)
800 E DAWSON ST
TYLER, TX 75701
Smith County (903) 525-1914

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 Carly Diviney's NPI number?

The NPI number for Carly Diviney is 1235928425. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Carly Diviney located?

Carly Diviney practices at 800 E Dawson St, Tyler, TX 75701. The listed phone number is (903) 606-4262.

What is Carly Diviney's specialty?

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

Is Carly Diviney enrolled in Medicare?

Yes. Carly Diviney 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.

Is Carly Diviney affiliated with any hospitals?

According to CMS data, Carly Diviney is affiliated with Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Carly Diviney was last updated on June 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.