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CARRIE ELIZABETH WILSON FRIEDMAN RN,MSN, FNP, PMHNP
NPI 1053712729
Nurse Practitioner - Psychiatric/Mental Health in Roseville, CA

Active since September 11, 2014Opted out of Medicare · through Aug 17, 2027
1189 MELODY LANE, ROSEVILLE, CA 95678(916) 299-7244(916) 581-8669 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2026, Oct 31, 2023 (2 updates tracked since 2023).

About Carrie Elizabeth Wilson Friedman Rn,msn, Fnp, Pmhnp NPPES

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

CARRIE ELIZABETH WILSON FRIEDMAN RN,MSN, FNP, PMHNP (NPI 1053712729) is an individual psychiatric/mental health provider in Roseville, California, licensed in California (95001868) and active in the NPI registry since September 2014. She has opted out of Medicare through August 17, 2027.

NPPES Registry Identity

NPI1053712729
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCARRIE ELIZABETH WILSON FRIEDMANCredential: RN,MSN, FNP, PMHNP
Location Address1189 MELODY LANERoseville, CA 95678
Mailing Address1189 Melody LaneRoseville, CA 95678 · (916) 299-7244 · Fax (916) 581-8669
Phone(916) 299-7244
Fax(916) 581-8669
Sole ProprietorYes
Enumeration DateSeptember 11, 2014
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1053712729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95001868
1189 MELODY LANE, Roseville, CA 95678
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carrie Elizabeth Wilson Friedman Rn,msn, Fnp, Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 17, 2023 through August 17, 2027.

Opt-Out Effective DateAugust 17, 2023
Opt-Out In Effect ThroughAugust 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carrie Wilson Friedman's NPI number?

The NPI number for Carrie Wilson Friedman is 1053712729. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Where is Carrie Wilson Friedman located?

Carrie Wilson Friedman practices at 1189 Melody Lane, Roseville, CA 95678. The listed phone number is (916) 299-7244.

What is Carrie Wilson Friedman's specialty?

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

Is Carrie Wilson Friedman enrolled in Medicare?

No. Carrie Wilson Friedman has opted out of Medicare through August 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carrie Wilson Friedman was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.