Amy Diane Krejsa, RN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4026547 Issued in KY

Practice address

601 Doe Run Dr Ste 5
Mt Sterling, KY 40353-9097

Phone

(859) 432-3055

NPI assigned

Aug 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Bluegrass Behavioral Health and Consulting ServicesGroup PAC ID 7719359280, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Bluegrass Behavioral Health & Consulting Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Mt Sterling, KY
  • NPI 1578234449
  Medicare reassignment Care Compare group NPD
• PPL Therapeutic Services PLLC

  • Professional Counselor
  • Crestwood, KY
  • NPI 1104323252
  Medicare reassignment NPD

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1285467225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 UPPER HINES CRK",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758969",
            "telephone_number": "314-479-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DOE RUN DR STE 5",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539097",
            "telephone_number": "859-432-3055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Upper Hines Crk",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404758969",
            "country_code": "US",
            "telephone_number": "314-479-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREJSA",
        "first_name": "AMY",
        "middle_name": "DIANE",
        "credential": "RN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4026547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigitte Danielle King, MD
• Marlena King
• Hannah Kissick, OD
• Kevin L Knepper, D.C.
• Patty Knox
• Jennifer Lynn Kroening
• Kroger Limited Partnership I (Kroger Pharmacy)
• Judith Krug, ADC
• Ky Chiropractic Mt Sterling
• Laboratory Corporation of America

• Psychiatric/Mental Health Nurse Practitioner in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.