CARLY MICHELE PRUTZMAN APRN NP-C NPI 1790235877

NPI Information

  • NPI: 1790235877
  • Provider Name: CARLY MICHELE PRUTZMAN, APRN, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1503 S MISSION ST STE A
    ANADARKO, OK
    ZIP 73005
  • Phone: (405) 247-1100

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NPI Details

Carly Michele Prutzman, APRN, NP-C is a family nurse practitioner in Anadarko, OK. Carly Michele Prutzman, APRN, NP-C NPI is 1790235877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1503 S MISSION ST STE A
ANADARKO, OK
ZIP 73005-815
Phone: (405) 247-1100
Fax: (405) 247-1155

The NPI 1790235877 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Automated urinalysis test (HCPCS:81003)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)

The enumeration date for this NPI number is 10/12/2016 and was last updated on 10/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily86017OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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