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CARLY PRUCKNER PA-C
NPI 1659977155
Physician Assistant in Nashville, TN

Active since December 09, 2020PECOS Enrolled
1624 RIVERSIDE DR, NASHVILLE, TN 37216(814) 440-1977 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2023, Dec 9, 2020 (2 updates tracked since 2020).

About Carly Pruckner Pa-c NPPES

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

CARLY PRUCKNER PA-C (NPI 1659977155) is an individual physician assistant in Nashville, Tennessee, licensed in Tennessee (4369) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659977155
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLY PRUCKNERCredential: PA-C
Location Address1624 RIVERSIDE DRNashville, TN 37216-4012
Mailing Address1624 Riverside DrNashville, TN 37216-4012 · (814) 440-1977
Phone(814) 440-1977
Sole ProprietorNo
Enumeration DateDecember 9, 2020
Last NPPES UpdateMarch 3, 20232 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
✔ NPI 1659977155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 4369
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1624 RIVERSIDE DR, Nashville, TN 37216
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Pruckner Pa-c 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 37216 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Pruckner's NPI number?

The NPI number for Carly Pruckner is 1659977155. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Carly Pruckner located?

Carly Pruckner practices at 1624 Riverside Dr, Nashville, TN 37216. The listed phone number is (814) 440-1977.

What is Carly Pruckner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carly Pruckner enrolled in Medicare?

Yes. Carly Pruckner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Pruckner was last updated on March 3, 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.