Kristy Verhage, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Jacksonville, TX
NPI 1902220114 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1902220114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 657357 (TX)
- Practice address
- 1438 E Rusk St
Jacksonville, TX 75766-3450 - Phone
- (903) 721-3250
- NPI assigned
- Feb 7, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1438 E Rusk St
Jacksonville, TX 75766-3450
Phone (903) 364-6357
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140509000546 | TX | Practitioner - Nurse Practitioner | 8123251584 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 657357 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Well Mental Health Center PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
1438 E Rusk St
Jacksonville, TX 75766
Phone (903) 364-6357
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 657357 | TX | Yes |
Addresses
Primary practice location
1438 E Rusk St
Jacksonville, TX 75766-3450
Mailing address
1438 E Rusk St
Jacksonville, TX 75766-3450
Phone (903) 721-3250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 657357 | Other | TX | TEXAS STATE BOARD OF NURSING |
Other providers in Jacksonville, TX
- Amy Traylor
- Tri-County Anesthesia Associates, PA
- Tri-County Womens Healthcare
- Trincare Inc
- Trinity Counseling Associates of East Texas, Inc
- Matthew A Vierkant
- Richard M Viken
- Elizabeth Sorrell Wade
- Wal-Mart Stores Texas LLC
- Wal-Mart Stores Texas, LP
All providers in Jacksonville, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.