Kristy Verhage, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

657357 Issued in TX

Practice address

1438 E Rusk St
Jacksonville, TX 75766-3450

Phone

(903) 721-3250

NPI assigned

Feb 7, 2014

Last updated

Aug 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Be Well Mental Health Center PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, TX
  • NPI 1104584242
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1902220114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 E RUSK ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663450",
            "telephone_number": "903-721-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 E RUSK ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663450",
            "telephone_number": "903-721-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHAGE",
        "first_name": "KRISTY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "657357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Traylor
• Tri-County Anesthesia Associates, PA
• Tri-County Womens Healthcare
• Trincare Inc (Trinity Optical LLC)
• Trinity Counseling Associates of East Texas, Inc
• Matthew A Vierkant, MD
• Richard M Viken, MD
• Elizabeth Sorrell Wade, LPC
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0180)
• Wal-Mart Stores Texas, LP (Vision Center 30-0180)

• Psychiatric/Mental Health Nurse Practitioner in Jacksonville, TX
• Providers in Jacksonville, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.