Individual provider Active NPI

Krisna Alyse Hervey, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1689046104
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
HERV-LKRQ0I Issued in MS
Practice address
507 Heritage Dr Ste 101
Oxford, MS 38655-5571
Phone
(662) 638-3388
Fax
(866) 393-6602
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 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 HERV-LKRQ0I MS Primary

Addresses

Primary practice location

507 Heritage Dr Ste 101
Oxford, MS 38655-5571

Mailing address

507 Heritage Dr Ste 101
Oxford, MS 38655-5571
Phone (662) 638-3388

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
I20160718001871 MS Practitioner - Nurse Practitioner 1850684556

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HERV-LKRQ0IMSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Region VI Community Mental Health Commission CurrentSince May 14, 2016 Accepting new patients
Conscious Change LLC Psychiatric/Mental Health CurrentSince Mar 16, 2021 Accepting new patients
Garden Park Past Accepting new patients

Locations

507 Heritage Dr
Ste 101
Oxford, MS 38655
Phone (662) 638-3388

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1689046104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 HERITAGE DR STE 101",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555571",
            "telephone_number": "662-638-3388",
            "fax_number": "866-393-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HERITAGE DR STE 101",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555571",
            "telephone_number": "662-638-3388",
            "fax_number": "866-393-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERVEY",
        "first_name": "KRISNA",
        "middle_name": "ALYSE",
        "name_prefix": "Mrs.",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "HERV-LKRQ0I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.