Carolina Carvelli
Individual provider Active NPI Family Nurse Practitioner · Fruita, CO
NPI 1013622786 · NPPES record last updated Mar 1, 2023
Key facts
- NPI
- 1013622786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0998302 (CO)
- Practice address
- 300 W Ottley Ave
Fruita, CO 81521-2118 - Phone
- (970) 858-3500
- Fax
- (970) 858-3500
- NPI assigned
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
556 Beech Ave
Fruita, CO 81521-6705
PO Box
Suite 130
Fruita, CO 81521
Hospital & facility affiliations
- Family Health West Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230308000094 | CO | Practitioner - Nurse Practitioner | 1658744941 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0998302 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Valley Hospital Association | Current |
Accepting new patients | |
| Lower Valley Hospital Association | Current |
Accepting new patients | |
| Lower Valley Hospital Association | Current |
Accepting new patients | |
| Lower Valley Hospital Association | Current | Accepting new patients | |
| Lower Valley Hospital Association | Past | Accepting new patients | |
| Lower Valley Hospital Association | Urgent Care | Past | Accepting new patients |
Locations
401 Kokopelli Blvd
Ste 3
Fruita, CO 81521
Phone (970) 200-1510
300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900
281 N Plum St
Fruita, CO 81521
Phone (970) 858-2530
576 Kokopelli Blvd
Ste De
Fruita, CO 81521
300 W Ottley Ave
Fl 2
Fruita, CO 81521
401 Kokopelli Blvd
Ste 1
Fruita, CO 81521
Phone (970) 858-2705
576 Kokopelli Blvd
Unit De
Fruita, CO 81521
Phone (970) 858-2590
300 W Ottley Ave
#W
Fruita, CO 81521
2237 Redlands Pkwy
Grand Junction, CO 81507
Phone (970) 858-9894
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2727d563-1937-4182-91c8-c6faf5efe876/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | |||
| Family Nurse Practitioner | 363LF0000X | 0998302 | CO | Yes |
Addresses
Primary practice location
300 W Ottley Ave
Fruita, CO 81521-2118
Mailing address
576 1/2 28 1/2 Rd
Grand Junction, CO 81501-5301
Phone (970) 773-1990
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | xxx |
Other providers in Fruita, CO
- By Your Side Home Care
- Melissa A. Campbell
- Eva Marie Cappiello
- Richard Allan Cappiello
- Benjamin Woerner Carelock
- Chay Jay LLC
- Sandra Christenson
- Kyle Robert Christopherson
- Jasmine Cipperly
- Chandler Elizabeth Cole
All providers in Fruita, CO · Family Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.