Carly Michele Prutzman, APRN, NP-C - Medicare Nurse Practitioner in Anadarko, OK

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Carly Michele Prutzman, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Anadarko, Oklahoma. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Healthcare Stat Of Anadarko Inc and her current practice location is 1503 S Mission St Ste A, Anadarko, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 247-1100.

Carly Michele Prutzman is licensed to practice in Oklahoma (license number 86017) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1790235877.

Contact Information

Carly Michele Prutzman, APRN, NP-C
1503 S Mission St Ste A,
Anadarko, OK 73005-5815
(405) 247-1100
(405) 247-1155

Map and Direction




Provider's Profile

Full NameCarly Michele Prutzman
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1503 S Mission St Ste A, Anadarko, Oklahoma
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carly Michele Prutzman graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1790235877
  • Provider Enumeration Date: 10/12/2016
  • Last Update Date: 10/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446522890
  • Enrollment ID: I20170818001455

Medical Identifiers

Medical identifiers for Carly Michele Prutzman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790235877NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 86017 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthcare Stat Of Anadarko Inc57990744072

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carly Michele Prutzman allows following entities to bill medicare on her behalf.
Entity NameNorman Regional Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912563727
PECOS PAC ID: 2769395185
Enrollment ID: O20031111000299
Entity NameAtoka County Healthcare Authority
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1508896499
PECOS PAC ID: 9032003132
Enrollment ID: O20080514000253
Entity NameHealthcare Stat
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609029644
PECOS PAC ID: 7012067762
Enrollment ID: O20090618000208
Entity NameAnibal Avila Md Professional Corporation Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578855409
PECOS PAC ID: 0143407205
Enrollment ID: O20110527000226
Entity NameHealthcare Stat Of Anadarko Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811359607
PECOS PAC ID: 5799074407
Enrollment ID: O20160519001701
Entity NameHealthcare Stat Of Newcastle Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346796604
PECOS PAC ID: 2769760768
Enrollment ID: O20161026001208

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Michele Prutzman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carly Michele Prutzman, APRN, NP-C
3333 Windmill Rd,
Oklahoma City, OK 73165-7382

Ph: () -		Carly Michele Prutzman, APRN, NP-C
1503 S Mission St Ste A,
Anadarko, OK 73005-5815

Ph: (405) 247-1100

Reviews and Comments


Nurse Practitioner Nurses in Anadarko, OK

Miss Andrea Hayes, APRN-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 412 Se 11th Street, Anadarko, OK 73005
Phone: 405-247-9500    Fax: 405-247-9505
Kelly Nesdahl, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1503 S Mission St Ste A, Anadarko, OK 73005
Phone: 405-247-1100    
Frank Molina, ADVANCED NURSE PRACT
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 115 N.e. Oldtown Drive, Anadarko, OK 73005
Phone: 405-247-2458    Fax: 405-247-6657
Wendy Marie Brown, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1002 E Central Blvd, Anadarko, OK 73005
Phone: 405-247-2551    
Randee Green, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1503 S Mission St, Anadarko, OK 73005
Phone: 405-247-1100    
Amy Lynne Glasgow, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 E Parker Mckenzie Dr, Anadarko, OK 73005
Phone: 405-247-7900    
Mrs. Tonya Kay Jones, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1503 S Mission St # A, Anadarko, OK 73005
Phone: 405-247-1100    Fax: 405-247-1155

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.