HART KATHERINE WYLIE PMHNP, LPC
NPI 1053639088
Nurse Practitioner - Psychiatric/Mental Health in Jackson, MS

Active since May 14, 2010PECOS EnrolledAccepts Medicare Assignment
1855 LAKELAND DR, SUITE P-121, JACKSON, MS 39216(601) 366-4696 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hart Katherine Wylie Pmhnp, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HART KATHERINE WYLIE PMHNP, LPC (NPI 1053639088) is an individual psychiatric/mental health provider in Jackson, Mississippi, licensed in Mississippi (R883581) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1053639088
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHART KATHERINE WYLIECredential: PMHNP, LPC
Location Address1855 LAKELAND DR, SUITE P-121Jackson, MS 39216-4913
Mailing Address1855 Lakeland Dr, Suite P-121Jackson, MS 39216-4913 · (601) 366-4696
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 14, 2010
Last NPPES UpdateSeptember 19, 2012
NPI 1053639088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MS · R883581
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 1360 (MS)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License T0434 (MS)
1855 LAKELAND DR, Jackson, MS 39216

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hart Katherine Wylie Pmhnp, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375818206
PECOS Enrollment IDI20171003006683, I20230125000528
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1855 LAKELAND DR, SUITE P101
JACKSON, MS 39216
Nurse Practitioner (Family)
1855 LAKELAND DR, STE M20
JACKSON, MS 39216
Counselor (Professional)
1855 LAKELAND DR
JACKSON, MS 39216
Clinic/Center (Radiology, Mobile)
1855 LAKELAND DR, STE G10
JACKSON, MS 39216
Marriage & Family Therapist
1855 LAKELAND DR, SUITE R-204
JACKSON, MS 39216
Psychiatry & Neurology (Psychiatry)
1855 LAKELAND DR, SUITE P-231
JACKSON, MS 39216
Counselor
1855 LAKELAND DR, SUITE P121
JACKSON, MS 39216
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1855 LAKELAND DR, SUITE R204
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hart Wylie's NPI number?

The NPI number for Hart Wylie is 1053639088. It was assigned to this individual provider in the NPPES registry on May 14, 2010.

Where is Hart Wylie located?

Hart Wylie practices at 1855 Lakeland Dr Suite P-121, Jackson, MS 39216. The listed phone number is (601) 366-4696.

What is Hart Wylie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Hart Wylie enrolled in Medicare?

Yes. Hart Wylie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hart Wylie accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Hart Wylie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hart Wylie was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.