Individual provider Active NPI

Nancy Harvey

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1871944652
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
901591 Issued in MS
Practice address
1920 Dunbarton Dr
Jackson, MS 39216-5001
Phone
(601) 982-5376
Fax
(601) 982-5377
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 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 901591 MS Primary

Addresses

Primary practice location

1920 Dunbarton Dr
Jackson, MS 39216-5001

Mailing address

1920 Dunbarton Dr
Jackson, MS 39216-5001
Phone (601) 982-5376

Other identifiers 2

IdentifierTypeStateIssuer
03355270MedicaidMS
09878076MedicaidMS

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
I20170417000713 MS Practitioner - Nurse Practitioner 3173809605 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precise Clinical Neuroscience SpecialistsGroup PAC ID 4880737626, 37 clinicians

Practice addresses (Care Compare)

3531 Lakeland Dr
Suite 1060
Flowood, MS 39232-8016
Phone (601) 420-5810

Hospital & facility affiliations

  • Merit Health Central Hospital, Jackson, MS, CCN 250072

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Behavioral Health CurrentSince Sep 1, 2024 Accepting new patients
Imagine, LLC CurrentSince Dec 24, 2023 Accepting new patients
Precise Clinical Neuroscience Specialists CurrentSince Dec 16, 2024 Accepting new patients
Precise Psychopharmacology LLC Past Accepting new patients

Locations

3531 Lakeland Dr
Ste 1060
Flowood, MS 39232
Phone (601) 420-5812

3531 Lakeland Dr
Jackson, MS 39232
Phone (601) 936-2024

1920 Dunbarton Dr
Jackson, MS 39216
Phone (601) 627-7400

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1871944652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 DUNBARTON DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165001",
            "telephone_number": "601-982-5376",
            "fax_number": "601-824-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DUNBARTON DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165001",
            "telephone_number": "601-982-5376",
            "fax_number": "601-982-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "901591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03355270",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09878076",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.