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

Carly D Skjervem

Individual provider Family Nurse Practitioner · NPI 1740657451

Carly D Skjervem is a Nurse Practitioner in Kansas City, Missouri. Qualified in 2015, 11 years ago. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2015

Practice location Address checks out

2101 Charlotte St
Kansas City, MO 64108-2727
Phone: (816) 404-7800
Fax: (816) 404-6006
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2016021952 (MO)

Record details

NPI number1740657451
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2015
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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