CARLY MICHELE PRUTZMAN APRN, NP-C
NPI 1790235877
Nurse Practitioner - Family in Anadarko, OK

Q: What is Carly Prutzman's NPI number?

The NPI number for Carly Prutzman is 1790235877. It was assigned to this individual provider in the NPPES registry on October 12, 2016. The provider is also known as Carly Michele Pruitt Aprn.

Q: What is Carly Prutzman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carly Prutzman was last updated on October 14, 2022. 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.

Active since October 12, 2016PECOS Enrolled

1503 S MISSION ST STE A, ANADARKO, OK 73005(405) 247-1100(405) 247-1155 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 14, 2022, May 30, 2019, Oct 12, 2016 (3 updates tracked since 2016).

On this page

About Carly Michele Prutzman Aprn, Np-c NPPES

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

CARLY MICHELE PRUTZMAN APRN, NP-C (NPI 1790235877) is an individual family provider in Anadarko, Oklahoma, licensed in Oklahoma (86017) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790235877

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARLY MICHELE PRUTZMANCredential: APRN, NP-C

Location Address1503 S MISSION ST STE AAnadarko, OK 73005-5815

Mailing Address3333 Windmill RdOklahoma City, OK 73165-7382

Phone(405) 247-1100

Fax(405) 247-1155

Sole ProprietorNo

Enumeration DateOctober 12, 2016

Last NPPES UpdateOctober 14, 20223 updates tracked since enumeration

NPPES CertifiedOctober 14, 2022

✔ NPI 1790235877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · 86017

1503 S MISSION ST STE A, Anadarko, OK 73005

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Other Names 1

Former Name (1)Carly Michele Pruitt Aprn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

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 Michele Prutzman Aprn, Np-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 73005 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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

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

KELLY NESDAHL APRN

Nurse Practitioner (Family)

1503 S MISSION ST STE A
ANADARKO, OK 73005

Caddo County (405) 247-1100

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 Prutzman's NPI number?

The NPI number for Carly Prutzman is 1790235877. It was assigned to this individual provider in the NPPES registry on October 12, 2016. The provider is also known as Carly Michele Pruitt Aprn.

Where is Carly Prutzman located?

Carly Prutzman practices at 1503 S Mission St Ste A, Anadarko, OK 73005. The listed phone number is (405) 247-1100.

What is Carly Prutzman's specialty?

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

Is Carly Prutzman enrolled in Medicare?

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

What insurance does Carly Prutzman accept?

Health plans from Mending Health list Carly Prutzman 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 Prutzman was last updated on October 14, 2022. 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.