Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Pecoriello Prudic, FNP-BC

Individual provider Registered Nurse · NPI 1306498860

Carly Pecoriello Prudic, FNP-BC is a Nurse Practitioner in Bayfield, Colorado. Qualified in 2019, 7 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and New Mexico.

Years since qualifying
7
Licensed in
CO, NM
In the registry since
2019
Specialties on file
4
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

480 Wolverine Dr Ste 3
Bayfield, CO 81122-9653
Phone: (970) 764-9150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Mercado St Ste 160, Durango, CO 81301-7309 — (970) 385-9850

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence C-APN.0003335-C-NP (CO)
Registered Nurse Taxonomy 163W00000X · Licence RN-79812 (NM)
Nurse Practitioner Taxonomy 363L00000X · Licence C-APN.0003335-C-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 568903 (NM)

Record details

NPI number1306498860
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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