Individual provider Active NPI

Nakesia Ellis, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1063005874
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
904456 Issued in MS
Practice address
2969 Curran Dr N
Jackson, MS 39216-4121
Phone
(601) 200-3100
Fax
(601) 200-8846
NPI assigned
Feb 12, 2021
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 904456 MS Primary

Addresses

Primary practice location

2969 Curran Dr N
Jackson, MS 39216-4121

Mailing address

1935 Lakeland Dr Ste 900
Jackson, MS 39216-5028
Phone (601) 718-2468

Other practice location 1

1935 Lakeland Dr Ste 900
Jackson, MS 39216-5028
Phone (601) 718-2468

Other practice location 2

1437 Old Square Rd Ste 101
Jackson, MS 39211-5533
Phone (601) 977-9353

Other practice location 3

3450 Highway 80 W
Jackson, MS 39209-7201
Phone (601) 321-2400

Other identifiers 1

IdentifierTypeStateIssuer
05323277MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220323001398 MS Practitioner - Nurse Practitioner 0547653644 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hinds County Mental Health Comission CurrentSince Dec 28, 2021 Accepting new patients
Jackson Comprehension Treatment Center Past Accepting new patients
Mississippi Comprehensive Treatment Centers, LLC Past Accepting new patients

Locations

3450 Highway 80 W
Jackson, MS 39209
Phone (601) 321-2400

Interoperability endpoints

  • Direct secure messaging: nellis2523045@direct.casso.us.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1063005874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 LAKELAND DR STE 900",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165028",
            "telephone_number": "601-718-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 CURRAN DR N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164121",
            "telephone_number": "601-200-3100",
            "fax_number": "601-200-8846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 Lakeland Dr Ste 900",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392165028",
            "country_code": "US",
            "telephone_number": "601-718-2468",
            "fax_number": "601-718-2487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1437 Old Square Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392115533",
            "country_code": "US",
            "telephone_number": "601-977-9353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 Highway 80 W",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392097201",
            "country_code": "US",
            "telephone_number": "601-321-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "NAKESIA",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "904456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05323277",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.