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JUANITA CARNES NP
NPI 1275575342
Nurse Practitioner in Westfield, MA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
115 W SILVER ST, WESTFIELD, MA 01085(413) 568-2811(610) 834-2862 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Juanita Carnes Np NPPES

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

JUANITA CARNES NP (NPI 1275575342) is an individual nurse practitioner in Westfield, Massachusetts, licensed in Massachusetts (RN177561) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and maintains a secondary practice location in Enfield.

NPPES Registry Identity

NPI1275575342
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJUANITA CARNESCredential: NP
Location Address115 W SILVER STWestfield, MA 01085-3628
Mailing Address1000 River Rd, Suite 100Conshohocken, PA 19428-2439 · (800) 355-0505 · Fax (610) 834-2862
Phone(413) 568-2811
Fax(610) 834-2862
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 12, 2006
Last NPPES UpdateJanuary 30, 2020
✔ NPI 1275575342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN177561
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 8161 (CT)
115 W SILVER ST, Westfield, MA 01085
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Secondary Practice Location 1

Location 155 Hazard AveEnfield, CT 06082-3826 · Phone (860) 745-9911

Other Identifiers 2

Other500030036MA · Railroad Medicare
Medicaid0700631MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juanita Carnes 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 ID3678698719
PECOS Enrollment IDI20100914000289, I20191111000045
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

3

Medicare enrollment records show Juanita Carnes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cooley Dickinson Hospital Inc
9.9 mi
Urgent Care
12 COLLEGE HWY
Southampton, MA 01073
  • Reassigned Medicare billing, Massachusetts enrollment
  • 158 clinicians in this Medicare group
NPI 1932669272 (413) 527-1105
Mass General Brigham Medical Group Western Massachusetts Inc
16 mi
Family Medicine
30 LOCUST ST
Northampton, MA 01060
  • Reassigned Medicare billing, Massachusetts enrollment
  • 539 clinicians in this Medicare group
NPI 1295787919 (413) 582-2898
Urgent Care Medical Associates, LLC
57 mi
Urgent Care
31 OLD ROUTE 7
Brookfield, CT 06804
  • Reassigned Medicare billing, Connecticut enrollment
  • 52 clinicians in this Medicare group
NPI 1730479254 (203) 885-0808

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
260 services235 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637
This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.
52 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services47 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
30 services30 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01085 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
3 suppliers14 claims14 services$94.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MATTHEW GRAY MD
Emergency Medicine
115 W SILVER ST
WESTFIELD, MA 01085
Hampden County (413) 568-2811
LEANNE ELIZABETH SULLIVAN
Occupational Therapist
115 W SILVER ST
WESTFIELD, MA 01085
Hampden County (413) 571-0151
PETER E PASCAL MD LLC
Orthopaedic Surgery
115 W SILVER ST
WESTFIELD, MA 01085
Hampden County (413) 562-3444
JODI MANISCALCO PA
Physician Assistant
115 W SILVER ST
WESTFIELD, MA 01085
Hampden County (413) 568-2811
PIONEER VALLEY IMAGING, P.C.
Radiology (Body Imaging)
115 W SILVER ST, NOBLE HOSPITAL
WESTFIELD, MA 01085
Hampden County (413) 572-5055
RICHARD J LOFRUMENTO M.D.
Anesthesiology
115 W SILVER ST
WESTFIELD, MA 01085
Hampden County (413) 562-3444
BRIAN PAUL SUTTON M.D.
Emergency Medicine
115 W SILVER ST
WESTFIELD, MA 01085
Hampden County (413) 568-2811
JANET G SWIERZEWSKI NP
Nurse Practitioner (Acute Care)
115 W SILVER ST
WESTFIELD, MA 01085
Hampden County (413) 572-5099

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 Juanita Carnes's NPI number?

The NPI number for Juanita Carnes is 1275575342. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Juanita Carnes located?

Juanita Carnes practices at 115 W Silver St, Westfield, MA 01085. The listed phone number is (413) 568-2811.

What is Juanita Carnes's specialty?

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

Is Juanita Carnes enrolled in Medicare?

Yes. Juanita Carnes 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.

Which organizations bill Medicare for Juanita Carnes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juanita Carnes reassigns Medicare benefits to 3 organizations: Cooley Dickinson Hospital Inc (Southampton, MA), Mass General Brigham Medical Group Western Massachusetts Inc (Northampton, MA) and Urgent Care Medical Associates, LLC (Brookfield, CT). 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 Juanita Carnes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Juanita Carnes affiliated with any hospitals?

According to CMS data, Juanita Carnes is affiliated with Cooley Dickinson Hospital Inc,the.

When was this NPI record last updated?

The NPPES record for Juanita Carnes was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.