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

Carmen Lervold, NP

Individual provider General Practice Registered Nurse · NPI 1972238731

Carmen Lervold, NP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with South Mountain Family Psychiatry LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

11022 S 51st St Ste 250
Phoenix, AZ 85044-4319
Phone: (480) 939-6137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 278253 (AZ)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence RN172593 (AZ)

Record details

NPI number1972238731
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 17, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing address11022 S 51st St Ste 250, Phoenix, AZ 85044-4319

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice South Mountain Family Psychiatry Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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