Individual provider Active NPI

Jaima L Byrd, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anderson, IN
National Provider Identifier
1104472406
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28154489A Issued in IN
Practice address
600 W 10TH St
Anderson, IN 46016-1255
Phone
(765) 278-6387
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 28154489A IN Primary

Addresses

Primary practice location

600 W 10TH St
Anderson, IN 46016-1255

Mailing address

600 W 10TH St
Anderson, IN 46016-1255
Phone (765) 278-6387

Other names 1

  • Ms. Jaima L Bagienski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20191016001413 IN Practitioner - Nurse Practitioner 6002147477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindset Behavioral Health PCGroup PAC ID 4486195849, 7 clinicians

Practice addresses (Care Compare)

7230 Arbuckle CMNS
Suite 203
Brownsburg, IN 46112-1795
Phone (317) 207-0273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28154489AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindset Behavioral Health PC Psychiatric/Mental Health CurrentSince Aug 26, 2024 Accepting new patients

Locations

7230 Arbuckle Cmns
Ste 203
Brownsburg, IN 46112
Phone (317) 207-0273

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1104472406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 10TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161255",
            "telephone_number": "765-278-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 10TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161255",
            "telephone_number": "765-278-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "JAIMA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28154489A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIMA",
            "last_name": "BAGIENSKI",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "RN, MAIDEN NAME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.