Individual provider Active NPI

Tina Crane, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Bay, AL
National Provider Identifier
1548907272
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
905293 Issued in MS
Practice address
Hwy 90 Box 12580
#1
Grand Bay, AL 36541
Phone
(251) 454-4751
Fax
(251) 202-6899
NPI assigned
May 15, 2022
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 905293 MS Primary

Addresses

Primary practice location

Hwy 90 Box 12580
#1
Grand Bay, AL 36541

Mailing address

2122 Ingalls Ave
Pascagoula, MS 39567-5844
Phone (251) 454-4751

Other identifiers 1

IdentifierTypeStateIssuer
905293OtherMSINSURANCE

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
I20240517002267 MS Practitioner - Nurse Practitioner 9638510837 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

180 Debuys Rd
Biloxi, MS 39531-4402
Phone (251) 454-4751

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TBD Acquisition II, LLC CurrentSince Mar 1, 2025 Accepting new patients
Absolutely Rational Psychiatric/Mental Health CurrentSince Oct 15, 2024 Accepting new patients
MDB Behavioral Health Services LLC CurrentSince Mar 24, 2024 Accepting new patients
TBD Acquisition II LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

12580 US Highway 90
Unit 1
Grand Bay, AL 36541

180 Debuys Rd
Biloxi, MS 39531
Phone (228) 338-0220

11150 Highway 49
Gulfport, MS 39503
Phone (228) 575-1000

215 Katherine Dr
#A
Jackson, MS 39232

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": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1548907272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 INGALLS AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395675844",
            "telephone_number": "251-454-4751",
            "fax_number": "251-202-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 90 BOX 12580",
            "address_2": "#1",
            "city": "GRAND BAY",
            "state": "AL",
            "postal_code": "36541",
            "telephone_number": "251-454-4751",
            "fax_number": "251-202-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "TINA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-15",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "905293",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Bay, AL

Sources for this page

Verify at the official NPI Registry.