Carolyn Ann Nugent, NURSE PRACTIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

7161372 Issued in ID

Practice address

16520 Mulberry LN
Nampa, ID 83687-8492

Phone

(360) 888-0449

NPI assigned

Aug 5, 2024

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

Other names 1

• Carolyn Ann Madsen Former name

Medicare fee-for-service enrollment

Enrolled in ID

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindful Healing Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, ID
  • NPI 1023834926
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1619707593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16520 MULBERRY LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878492",
            "telephone_number": "360-888-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16520 MULBERRY LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878492",
            "telephone_number": "360-888-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "7161372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "MADSEN",
            "middle_name": "ANN",
            "credential": "NURSE PRACTIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Novello, LMSW
• NS and Associates PLLC
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• NS North, PLLC
• NS South
• Daniel Nuzum
• Duke M Nyarecha, PMHNP
• Diserthe Nyirangabire
• Suzanne Marie O'Hagan, M.S. CCC-SLP
• Maureen Kay O'Leary, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Nampa, ID
• Providers in Nampa, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.