Individual provider Active NPI

Melissa Cruce Kervin, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1477240240
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-185624 Issued in AL
Practice address
7125 University CT
Montgomery, AL 36117-8016
Phone
(334) 239-2622
NPI assigned
Apr 20, 2023
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-185624 AL Primary
General Practice Registered Nurse 163WG0000X 1-185624 AL

Addresses

Primary practice location

7125 University CT
Montgomery, AL 36117-8016

Mailing address

88 Woodridge Ave
Pike Road, AL 36064-3888
Phone (205) 999-6907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250103003217 AL Practitioner - Nurse Practitioner 4688102635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Area Mental Health Authority, Inc.Group PAC ID 8527010917, 9 clinicians

Practice addresses (Care Compare)

2140 Upper Wetumpka Rd
Montgomery, AL 36107-1342
Phone (334) 279-7830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-185624ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince Sep 7, 2024 Accepting new patients
Montgomery Area Mental Health Authority Inc CurrentSince Apr 24, 2025 Accepting new patients
Rousso Facial Plastic Surgery Clinic PC PastSince Apr 1, 2023 Accepting new patients
Greystone Anesthesia Services Inc PastSince Apr 1, 2023 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

2140 Upper Wetumpka Rd
Montgomery, AL 36107
Phone (334) 262-0363

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

5915 Carmichael Rd
Montgomery, AL 36117
Phone (334) 245-8736

7125 University Ct
Montgomery, AL 36117

Organizations & group practices 4

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": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1477240240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 WOODRIDGE AVE",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360643888",
            "telephone_number": "205-999-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 UNIVERSITY CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178016",
            "telephone_number": "334-239-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUCE KERVIN",
        "first_name": "MELISSA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-185624",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AL",
            "license": "1-185624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.