MRS. JACLYN LEE CARNEVALE PA-C
NPI 1932575578
Physician Assistant - Medical in New York, NY

Active since August 18, 2015PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
111 AMSTERDAM AVE, NEW YORK, NY 10023(516) 680-7538 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2026, Sep 19, 2025, Oct 17, 2016 (3 updates tracked since 2016).

About Mrs. Jaclyn Lee Carnevale Pa-c NPPES

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

MRS. JACLYN LEE CARNEVALE PA-C (NPI 1932575578) is an individual medical provider in New York, New York, licensed in New York (018929) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1932575578
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JACLYN LEE CARNEVALECredential: PA-C
Location Address111 AMSTERDAM AVENew York, NY 10023-7410
Mailing Address600 Northern Blvd Suite #111Great Neck, NY 11021 · (516) 387-3990
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 18, 2015
Last NPPES UpdateJanuary 20, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
NPI 1932575578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 018929
111 AMSTERDAM AVE, New York, NY 10023

Other Names 1

Former Name (1)Ms. Jacly Lee Mannion Pa-c

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

Mrs. Jaclyn Lee Carnevale Pa-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 ID4486056827
PECOS Enrollment IDI20210708000753
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 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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier14 claims14 services$46.15 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 6

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

Internal Medicine (Infectious Disease)
111 AMSTERDAM AVE, ST LUKES HOSP, MORNINGSIDE CLINIC
NEW YORK, NY 10023
Registered Nurse
111 AMSTERDAM AVE
NEW YORK, NY 10023
Internal Medicine (Critical Care Medicine)
111 AMSTERDAM AVE
NEW YORK, NY 10023
Student in an Organized Health Care Education/Training Program
111 AMSTERDAM AVE
NEW YORK, NY 10023
Physician Assistant
111 AMSTERDAM AVE
NEW YORK, NY 10023
Student in an Organized Health Care Education/Training Program
111 AMSTERDAM AVE
NEW YORK, NY 10023

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 Jaclyn Carnevale's NPI number?

The NPI number for Jaclyn Carnevale is 1932575578. It was assigned to this individual provider in the NPPES registry on August 18, 2015. The provider is also known as Ms. Jacly Lee Mannion Pa-C.

Where is Jaclyn Carnevale located?

Jaclyn Carnevale practices at 111 Amsterdam Ave, New York, NY 10023. The listed phone number is (516) 680-7538.

What is Jaclyn Carnevale's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jaclyn Carnevale enrolled in Medicare?

Yes. Jaclyn Carnevale 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 Jaclyn Carnevale was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.