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

Marlene Elizabeth Wilson, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1205175304

Marlene Elizabeth Wilson, PMHNP-BC is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices with South Mountain Family Psychiatry LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2013
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

11022 S 51st St Ste 250
Phoenix, AZ 85044-4308
Phone: (480) 939-6137
Fax: (602) 429-8445
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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 236775 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN174104 (AZ)

Record details

NPI number1205175304
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedFebruary 8, 2013
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice South Mountain Family Psychiatry Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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