CARLY WORDEN NP
NPI 1053926949
Nurse Practitioner in Kenosha, WI

Active since September 09, 2020PECOS EnrolledAccepts Medicare Assignment
2707 15TH PL, KENOSHA, WI 53140(262) 551-2700 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2024, Aug 24, 2023, Nov 30, 2021 and 2 more (5 updates tracked since 2020).

About Carly Worden Np NPPES

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

CARLY WORDEN NP (NPI 1053926949) is an individual nurse practitioner in Kenosha, Wisconsin, licensed in Wisconsin (10299-33) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053926949
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARLY WORDENCredential: NP
Location Address2707 15TH PLKenosha, WI 53140-4947
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (262) 551-2700
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 9, 2020
Last NPPES UpdateJanuary 4, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
NPI 1053926949 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 WI · 10299-33
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 10299-33 (WI)
2707 15TH PL, Kenosha, WI 53140

Other Names 1

Former Name (1)Carly Pickos Np

Other Identifiers 1

Medicaid100104069WI

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 and accepts Medicare assignment

Carly Worden 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 ID5193144822
PECOS Enrollment IDI20200930001448
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.

Areas of Expertise CMS Part B claims 4

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.

Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
102 services15 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
98 services17 patients
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.
57 services46 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.
40 services31 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53140 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers46 claims152 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers32 claims41 services$1.05 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$182.65 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.

Nurse Practitioner (Adult Health)
2707 15TH PL
KENOSHA, WI 53140
Nurse Practitioner
2707 15TH PL
KENOSHA, WI 53140
Pharmacy (Clinic Pharmacy)
2707 15TH PL, SUITE 101
KENOSHA, WI 53140
Family Medicine
2707 15TH PL
KENOSHA, WI 53140
Physical Therapist
2707 15TH PL
KENOSHA, WI 53140
Physical Therapist
2707 15TH PL
KENOSHA, WI 53140

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 Worden's NPI number?

The NPI number for Carly Worden is 1053926949. It was assigned to this individual provider in the NPPES registry on September 9, 2020. The provider is also known as Carly Pickos Np.

Where is Carly Worden located?

Carly Worden practices at 2707 15th Pl, Kenosha, WI 53140. The listed phone number is (262) 551-2700.

What is Carly Worden's specialty?

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

Is Carly Worden enrolled in Medicare?

Yes. Carly Worden 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.

What insurance does Carly Worden accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Carly Worden 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.

Is Carly Worden affiliated with any hospitals?

According to CMS data, Carly Worden is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Carly Worden was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.