MRS. CARLY ROSE NELSON (APRN) – Nurse Practitioner, NPI 1770977407
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,509 NURSE PRACTITIONER in AZ
Provider Addresses for MRS. CARLY ROSE NELSON (APRN)
36375 N Gantzel Rd Ste 103
San Tan Valley, AZ 851407334
Phone: (480) 987-5500
Fax: (480) 987-5017
Type: Location
2011 PINTO LN STE 200
LAS VEGAS, NV 891064007
Phone: (702) 382-3200
Fax: (702) 382-3575
Type: Mailing
8906 SPANISH RIDGE AVE STE 202
LAS VEGAS, NV 891481319
Phone: (702) 330-3102
Fax: (702) 912-4994
Type: Mailing
861 CORONADO CENTER DR STE 131
HENDERSON, NV 890523992
Phone: (725) 777-0414
Fax: (702) 565-5027
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $1,574.
Total Amount is formed as General ($1,574) + Research ($0) + Ownership ($0) = $1,574.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($306).
Total Amount
$1,574
General + Research + Ownership
Payments
62
Total payment records
General Amount
$1,574
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $306 |
| Exeltis, USA Inc. | $301 |
| Hologic Sales and Service, LLC | $216 |
| Myriad Women's Health, Inc. | $136 |
| Daiichi Sankyo Inc. | $102 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160722002459 | I | Nurse Practitioner | NV | TBD |
| I20250807002624 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 23 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 13 | $0 |
Insurance plans in this area (ZIP 85140)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| - | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| Nurse Practitioner | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV |
Reviews
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