CARLY O'NEAL (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1992286777

CARLY O'NEAL (PMHNP-BC) is a healthcare provider. based in Saltillo, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 902870 (MS). The NPI Number for CARLY O'NEAL (PMHNP-BC) is 1992286777

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
CARLY O'NEAL (PMHNP-BC)
NPI
1992286777
Phone
(662) 397-4574
Address
112 ENGLEWOOD CV
Enumeration Date
28 August 2018
Last Update Date
28 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6622824226
Graduation Year
2018 (8 years ago)
PAC ID
1557613775
Group Practice PAC ID
2567372121
Professional Enrollment ID
I20181016001951
Address ID
MS388557632MA5681X363X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

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Provider Addresses for CARLY O'NEAL (PMHNP-BC)

  • 112, Englewood Cove, Saltillo, Lee County, Mississippi, 38866, United States

    SALTILLO, MS 388668725

    Phone: (662) 397-4574

    Type: Mailing

  • 2100, East Chambers Drive, Booneville, Prentiss County, Mississippi, 38829, United States

    BOONEVILLE, MS 388298938

    Phone: (662) 286-9883

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 138 Open Payments records for all available years, with a total value of $2,208.

Total Amount is formed as General ($2,208) + Research ($0) + Ownership ($0) = $2,208.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($555).

Total Amount

$2,208

General + Research + Ownership

Payments

138

Total payment records

General Amount

$2,208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181016001951INurse PractitionerMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38866)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567372121View full group profile
NameSpecialtyState
Nurse PractitionerMS
-MS
Clinical Social WorkerMS
Nurse PractitionerMS
Nurse PractitionerMS
Registered Dietitian Or Nutrition ProfessionalMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

How do payers reference CARLY O'NEAL (PMHNP-BC)?
For CARLY O'NEAL (PMHNP-BC), use NPI 1992286777 as the unique 10-digit identifier.
Is CARLY O'NEAL (PMHNP-BC) still an active registrant?
CARLY O'NEAL (PMHNP-BC) carries an active NPI according to the public dataset.
What area of care is associated with CARLY O'NEAL (PMHNP-BC)?
CARLY O'NEAL (PMHNP-BC)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CARLY O'NEAL (PMHNP-BC) associated with Saltillo?
Public fields place CARLY O'NEAL (PMHNP-BC) around Saltillo, Mississippi. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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