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MS. CARLY ROSE WIRICK RN, APRN, AGACNP-BC
NPI 1760871099
Nurse Practitioner in Carbondale, IL

Active since January 09, 2015PECOS Enrolled
305 W JACKSON ST STE 103, CARBONDALE, IL 62901(618) 351-4972(618) 351-6522 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Carly Rose Wirick Rn, Aprn, Agacnp-bc NPPES

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

MS. CARLY ROSE WIRICK RN, APRN, AGACNP-BC (NPI 1760871099) is an individual nurse practitioner in Carbondale, Illinois, licensed in Illinois (209033191) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2013).

NPPES Registry Identity

NPI1760871099
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. CARLY ROSE WIRICKCredential: RN, APRN, AGACNP-BC
Location Address305 W JACKSON ST STE 103Carbondale, IL 62901-1474
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Phone(618) 351-4972
Fax(618) 351-6522
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2013
Enumeration DateJanuary 9, 2015
Last NPPES UpdateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1760871099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209033191
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.
305 W JACKSON ST STE 103, Carbondale, IL 62901
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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)

Ms. Carly Rose Wirick Rn, Aprn, Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789902701
PECOS Enrollment IDI20251106001008
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 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 12

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

WHITNEY MCGUIRE NP
Nurse Practitioner
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Jackson County (618) 351-4972
ANDREA LOGGINI MD
Psychiatry & Neurology (Neurology)
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Jackson County (618) 351-4972
ASHLEY NICOLE HORNIK NP-C
Nurse Practitioner
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Jackson County (618) 351-4972
MOSTAFA ABDUL-RAHMAN FARACHE MD
Psychiatry & Neurology (Neurology)
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Jackson County (618) 351-4972
AHMED H JAFRI M.D.
Psychiatry & Neurology (Neurology)
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Jackson County (618) 351-4972
BRANDI ANDERSON NP
Nurse Practitioner (Family)
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Jackson County (618) 351-4972
ABBIE BAKER NP
Nurse Practitioner
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Jackson County (618) 351-4972
MARK FLEMING
Neurological Surgery
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Jackson County (618) 351-4972

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 Wirick's NPI number?

The NPI number for Carly Wirick is 1760871099. It was assigned to this individual provider in the NPPES registry on January 9, 2015.

Where is Carly Wirick located?

Carly Wirick practices at 305 W Jackson St Ste 103, Carbondale, IL 62901. The listed phone number is (618) 351-4972.

What is Carly Wirick's specialty?

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

Is Carly Wirick enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Carly Wirick was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.