CARLY H WILLIAMSON DNP, PMHNP-BC
NPI 1871252106
Nurse Practitioner - Psychiatric/Mental Health in Tacoma, WA

Active since December 14, 2021PECOS EnrolledAccepts Medicare Assignment
1112 S CUSHMAN AVE, TACOMA, WA 98405(253) 593-2144 Get Directions Write a Review

NPPES record last updated: July 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2024, Dec 14, 2021 (2 updates tracked since 2021).

About Carly H Williamson Dnp, Pmhnp-bc NPPES

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

CARLY H WILLIAMSON DNP, PMHNP-BC (NPI 1871252106) is an individual psychiatric/mental health provider in Tacoma, Washington, licensed in Washington (AP61584834) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871252106
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCARLY H WILLIAMSONCredential: DNP, PMHNP-BC
Location Address1112 S CUSHMAN AVETacoma, WA 98405-3631
Mailing Address1112 S Cushman AveTacoma, WA 98405-3631 · (253) 593-2144
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 14, 2021
Last NPPES UpdateJuly 27, 20242 updates tracked since enumeration
NPPES CertifiedJuly 27, 2024
NPI 1871252106 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 WA · AP61584834
Also ListedRegistered NurseTaxonomy 163W00000X · License RN60974676 (WA)
1112 S CUSHMAN AVE, Tacoma, WA 98405

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carly H Williamson Dnp, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527580190
PECOS Enrollment IDI20250324002463
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 98405 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 20

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

Pediatrics
1112 S CUSHMAN AVE
TACOMA, WA 98405
Clinic/Center (Federally Qualified Health Center (FQHC))
1112 S CUSHMAN AVE
TACOMA, WA 98405
Nurse Practitioner
1112 S CUSHMAN AVE
TACOMA, WA 98405
Internal Medicine
1112 S CUSHMAN AVE
TACOMA, WA 98405
Family Medicine
1112 S CUSHMAN AVE
TACOMA, WA 98405
Counselor (Mental Health)
1112 S CUSHMAN AVE
TACOMA, WA 98405
Nurse Practitioner (Psychiatric/Mental Health)
1112 S CUSHMAN AVE
TACOMA, WA 98405
Physician Assistant
1112 S CUSHMAN AVE
TACOMA, WA 98405

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 Carly Williamson's NPI number?

The NPI number for Carly Williamson is 1871252106. It was assigned to this individual provider in the NPPES registry on December 14, 2021.

Where is Carly Williamson located?

Carly Williamson practices at 1112 S Cushman Ave, Tacoma, WA 98405. The listed phone number is (253) 593-2144.

What is Carly Williamson's specialty?

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

Is Carly Williamson enrolled in Medicare?

Yes. Carly Williamson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carly Williamson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Carly Williamson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carly Williamson was last updated on July 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.