CARMEN LILY CARROUCHE RN, CNS, PMH-NP
NPI 1043451198
Nurse Practitioner - Psychiatric/Mental Health in San Rafael, CA

Q: What is Carmen Carrouche's NPI number?

The NPI number for Carmen Carrouche is 1043451198. It was assigned to this individual provider in the NPPES registry on March 19, 2009.

Q: What is Carmen Carrouche's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Carmen Carrouche was last updated on November 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 19, 2009PECOS Enrolled

16 RITTER ST, SAN RAFAEL, CA 94901(415) 457-8182(415) 457-3490 Get Directions Write a Review

NPPES record last updated: November 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carmen Lily Carrouche Rn, Cns, Pmh-np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMEN LILY CARROUCHE RN, CNS, PMH-NP (NPI 1043451198) is an individual psychiatric/mental health provider in San Rafael, California, licensed in California (23466) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043451198

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCARMEN LILY CARROUCHECredential: RN, CNS, PMH-NP

Location Address16 RITTER STSan Rafael, CA 94901-3323

Mailing Address16 Ritter StSan Rafael, CA 94901-3323 · (415) 457-8182 · Fax (415) 457-3490

Phone(415) 457-8182

Fax(415) 457-3490

Sole ProprietorYes

Enumeration DateMarch 19, 2009

Last NPPES UpdateNovember 1, 2013

✔ NPI 1043451198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 23466

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 510142 (CA)

16 RITTER ST, San Rafael, CA 94901

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen Lily Carrouche Rn, Cns, Pmh-np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS BRIANNA DOYLE RADT

Counselor (Addiction (Substance Use Disorder))