Carolyn Vavrecan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F338227 Issued in NY

Practice address

1521 W 13TH St
Clovis, NM 88101-5568

Phone

(575) 769-0888

NPI assigned

Nov 15, 2013

Last updated

Jun 13, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fedko Emergency Physicians New Mexico, LLCGroup PAC ID 4880934389, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cibola General Hospital Hospital, Grants, NM, CCN 321308
• Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fedko Emergency Physicians New Mexico LLC

  • Emergency Medicine Physician
  • Grants, NM
  • NPI 1770047441
  Medicare reassignment Care Compare group NPD
• Ben Archer Health Center

  • Federally Qualified Health Center (FQHC)
  • Truth Or Consequences, NM
  • NPI 1871528505
  Medicare reassignment NPD
• Cibola General Hospital Corporation

  dba Cibola General Hospital

  • Critical Access Hospital
  • Grants, NM
  • NPI 1780677039
  Medicare reassignment NPD
• Curry Emergency Group LLC

  • Emergency Medicine Physician
  • Clovis, NM
  • NPI 1508223082
  Medicare reassignment NPD
• Fep West LLC

  • Emergency Medicine Physician
  • Gallup, NM
  • NPI 1023903499
  Medicare reassignment NPD
• La Casa de Buena Salud Inc.

  dba La Casa Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Portales, NM
  • NPI 1972603165
  Medicare reassignment NPD
• Ben Archer Health Center

  dba Ben Archer Health Center Deming School Base

  • Federally Qualified Health Center (FQHC)
  • Deming, NM
  • NPI 1194443135
  NPD
• La Casa de Buena Salud Inc

  dba La Casa School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Clovis, NM
  • NPI 1760788137
  NPD
• Michael a Rowley MD PA

  • Diagnostic Radiology Physician
  • Clovis, NM
  • NPI 1174716781
  NPD (past)

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

• Cibola General Hospital Corporation

  dba Cibola General Hospital

  • Critical Access Hospital
  • Grants, NM
  • NPI 1780677039
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Plains Regional Medical Center

  • Rural Acute Care Hospital
  • Clovis, NM
  • NPI 1629053509
  Care Compare affiliation

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1174953947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881300843",
            "telephone_number": "575-359-3855",
            "fax_number": "575-356-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W 13TH ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015568",
            "telephone_number": "575-769-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAVRECAN",
        "first_name": "CAROLYN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josue Varelas
• Diedra Vargas
• Lisa Vargas
• Samantha Vargas
• Ashley Vasquez
• Luzveya Vazquez
• Miguel Vega
• Leandra Verder
• Via Christi Medical Clinic, Inc.
• David B Vickers, MD

• Family Nurse Practitioner in Clovis, NM
• Providers in Clovis, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.