Nicole Carlson, LCSW, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Tempe, Arizona. Her current practice location is
2600 E Southern Ave Ste C3, Tempe, Arizona. You can reach out to her office (for appointments etc.) via phone at
(626) 515-8875.
Nicole Carlson is licensed to practice in Arizona (license number 276452) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1427556240.
Healthcare Provider's Profile
Full Name | Nicole Carlson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 2600 E Southern Ave Ste C3, Tempe, Arizona |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Nicole Carlson attended and graduated from in
NPI Data:
- NPI Number: 1427556240
- Provider Enumeration Date: 01/26/2018
- Last Update Date: 11/22/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Nicole Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427556240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LCSW-19986 (Arizona) | Secondary |
163W00000X | Registered Nurse | 276452 (Arizona) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 276452 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Carlson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Carlson, LCSW, PMHNP-BC 2600 E Southern Ave Ste C3, Tempe, AZ 85282-7609 Ph: (626) 515-8875 | Nicole Carlson, LCSW, PMHNP-BC 2600 E Southern Ave Ste C3, Tempe, AZ 85282-7609 Ph: (626) 515-8875 |
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