Carolina Carvelli

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0998302 Issued in CO

Practice address

300 W Ottley Ave
Fruita, CO 81521-2118

Phone

(970) 858-3500

Fax

(970) 858-3500

NPI assigned

Jan 17, 2023

Last updated

Mar 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Family Health West Hospital Hospital, Fruita, CO, CCN 061302

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2727d563-1937-4182-91c8-c6faf5efe876/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lower Valley Hospital Association

  dba FHW Physician Services

  • Anesthesiology Physician
  • Fruita, CO
  • NPI 1609190206
  Medicare reassignment NPD
• Lower Valley Hospital Association

  dba Family Health West

  • Critical Access Hospital
  • Fruita, CO
  • NPI 1861496697
  Medicare reassignment NPD
• Lower Valley Hospital Association

  dba Family Health West Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Fruita, CO
  • NPI 1346095098
  NPD
• Lower Valley Hospital Association

  dba Family Health West Arthritis & Rheumatology

  • Rheumatology Physician
  • Fruita, CO
  • NPI 1710231816
  NPD
• Lower Valley Hospital Association

  dba Family Health West Primary Care

  • Family Medicine Physician
  • Fruita, CO
  • NPI 1538626833
  NPD (past)
• Lower Valley Hospital Association

  dba Family Health West Urgent Care

  • Urgent Care Clinic/Center
  • Fruita, CO
  • NPI 1902538796
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lower Valley Hospital Association

  dba Family Health West

  • Critical Access Hospital
  • Fruita, CO
  • NPI 1861496697
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1013622786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 1/2 28 1/2 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815015301",
            "telephone_number": "970-773-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W OTTLEY AVE",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212118",
            "telephone_number": "970-858-3500",
            "fax_number": "970-858-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVELLI",
        "first_name": "CAROLINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0998302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "xxx",
            "affiliation": "N",
            "address_1": "300 W Ottley Ave",
            "city": "Fruita",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815212118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• By Your Side Home Care
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• Eva Marie Cappiello, ARNP
• Richard Allan Cappiello, MD
• Benjamin Woerner Carelock, DPM
• Chay Jay LLC
• Sandra Christenson, PA
• Kyle Robert Christopherson, MD
• Jasmine Cipperly
• Chandler Elizabeth Cole, MS, CCC-SLP

• Family Nurse Practitioner in Fruita, CO
• Providers in Fruita, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.