MS. CARLY ROSE WIRICK RN, APRN, AGACNP-BC
NPI 1760871099
Nurse Practitioner in Carbondale, IL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Carly Rose Wirick Rn, Aprn, Agacnp-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.
Medicare Billing Reassignment
Medicare enrollment records show Carly Wirick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carbondale, IL 62901
- Reassigned Medicare billing, Illinois enrollment
- 702 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
CARBONDALE, IL 62901
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Carly Wirick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Wirick reassigns Medicare benefits to Southern Illinois Medical Services, Nfp (Carbondale, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Wirick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carly Wirick accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Carly Wirick 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 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 10 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.
# Ms. Carly Rose Wirick, RN, APRN, AGACNP-BC · NPI 1760871099
Nurse Practitioner physician in Carbondale, Illinois. Individual provider, active in the CMS NPPES registry since January 9, 2015.
## Identity
- **NPI:** 1760871099 (Entity type: Individual)
- **Enumerated:** January 9, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209033191 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 305 W JACKSON ST STE 103, Carbondale, IL 62901-1474
- **Phone:** (618) 351-4972 · **Fax:** (618) 351-6522
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern Illinois Medical Services, Nfp (NPI 1770656837, Carbondale, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Duke University School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** December 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760871099) · Data from the CMS NPPES public registry.