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CARLY PECORIELLO PRUDIC FNP-BC
NPI 1306498860
Nurse Practitioner - Family in Bayfield, CO

Active since July 15, 2019PECOS EnrolledAccepts Medicare Assignment
480 WOLVERINE DR STE 3, BAYFIELD, CO 81122(970) 764-9150 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2023, Aug 15, 2022, Nov 29, 2021 and 1 more (4 updates tracked since 2019).

About Carly Pecoriello Prudic Fnp-bc NPPES

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

CARLY PECORIELLO PRUDIC FNP-BC (NPI 1306498860) is an individual family provider in Bayfield, Colorado, licensed in Colorado (C-APN.0003335-C-NP) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Durango, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306498860
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLY PECORIELLO PRUDICCredential: FNP-BC
Location Address480 WOLVERINE DR STE 3Bayfield, CO 81122-9653
Mailing Address480 Wolverine Dr Ste 3Bayfield, CO 81122-9653 · (707) 649-1509
Phone(970) 764-9150
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 15, 2019
Last NPPES UpdateJuly 21, 20234 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1306498860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CO · C-APN.0003335-C-NP✔ Licensed in NM · 568903
Also ListedRegistered NurseTaxonomy 163W00000X · License RN-79812 (NM)
Also ListedNurse PractitionerTaxonomy 363L00000X · License C-APN.0003335-C-NP (CO)
480 WOLVERINE DR STE 3, Bayfield, CO 81122
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Secondary Practice Location 1

Location 11 Mercado St Ste 160Durango, CO 81301-7309 · Phone (970) 385-9850 · Fax (970) 385-9854

Other Identifiers 1

Medicaid9000198265CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.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 Pecoriello Prudic Fnp-bc 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 ID941530778
PECOS Enrollment IDI20211103002186
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 7

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
6,700 services11 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.
105 services80 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
41 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services38 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
34 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81122 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers23 claims23 services$21.20 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers29 claims29 services$108.19 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
3 suppliers14 claims14 services$197.09 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 2

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

GALEN HOLMES M.D.
Family Medicine
480 WOLVERINE DR STE 3
BAYFIELD, CO 81122
La Plata County (970) 764-9150
TOTAL HEALTHCARE
Family Medicine
480 WOLVERINE DR STE 3
BAYFIELD, CO 81122
La Plata County (970) 764-9150

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 Prudic's NPI number?

The NPI number for Carly Prudic is 1306498860. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Carly Prudic located?

Carly Prudic practices at 480 Wolverine Dr Ste 3, Bayfield, CO 81122. The listed phone number is (970) 764-9150.

What is Carly Prudic's specialty?

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

Is Carly Prudic enrolled in Medicare?

Yes. Carly Prudic 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 Prudic accept?

Health plans from University of Utah Health Plans list Carly Prudic 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 Carly Prudic was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.