SHELLY J CARNEVALE RN
NPI 1326567413
Nurse Practitioner - Family in Grand Rapids, MI

Active since September 11, 2017PECOS Enrolled
710 KENMOOR AVE SE STE 200, GRAND RAPIDS, MI 49546(616) 588-7246 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 11, 2017 (2 updates tracked since 2017).

About Shelly J Carnevale Rn NPPES

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

SHELLY J CARNEVALE RN (NPI 1326567413) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704230671) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326567413
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELLY J CARNEVALECredential: RN
Location Address710 KENMOOR AVE SE STE 200Grand Rapids, MI 49546-2379
Mailing Address710 Kenmoor Ave Se Ste 200Grand Rapids, MI 49546-2379 · (616) 588-7246
Sole ProprietorNo
Enumeration DateSeptember 11, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1326567413 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 MI · 4704230671
710 KENMOOR AVE SE STE 200, Grand Rapids, MI 49546

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shelly J Carnevale Rn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

Internal Medicine (Hematology & Oncology)
710 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546
Physician Assistant
710 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546
Social Worker
710 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546

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 Shelly Carnevale's NPI number?

The NPI number for Shelly Carnevale is 1326567413. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Shelly Carnevale located?

Shelly Carnevale practices at 710 Kenmoor Ave SE Ste 200, Grand Rapids, MI 49546. The listed phone number is (616) 588-7246.

What is Shelly Carnevale's specialty?

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

Is Shelly Carnevale enrolled in Medicare?

Yes. Shelly Carnevale is registered in the Medicare PECOS enrollment system.

What insurance does Shelly Carnevale accept?

Health plans from Priority Health list Shelly Carnevale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelly Carnevale was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.