HART KATHERINE WYLIE PMHNP, LPC
NPI 1053639088
Nurse Practitioner - Psychiatric/Mental Health in Jackson, MS
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
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Hart Wylie reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Oxford, MS 38655
- Reassigned Medicare billing, Mississippi enrollment
- 43 clinicians in this Medicare group
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 6 clinicians in this Medicare group
Ripley, MS 38663
- Reassigned Medicare billing, Mississippi enrollment
- Also billed through NPI 1164949624 (Mississippi)
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
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.
Which organizations bill Medicare for Hart Wylie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hart Wylie reassigns Medicare benefits to 4 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), North Mississippi Primary Health Care, Inc. (Oxford, MS), Mcclendon Medical Clinic PLLC (Ocean Springs, MS) and Tippah County Hospital (Ripley, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hart Wylie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hart Wylie accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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 14 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.
# Hart Katherine Wylie, PMHNP, LPC · NPI 1053639088
Psychiatric/Mental Health physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since May 14, 2010.
## Identity
- **NPI:** 1053639088 (Entity type: Individual)
- **Enumerated:** May 14, 2010
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R883581 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1855 LAKELAND DR, SUITE P-121, Jackson, MS 39216-4913
- **Phone:** (601) 366-4696
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1477734689, Jackson, MS); North Mississippi Primary Health Care, Inc. (NPI 1063078079, Oxford, MS); Mcclendon Medical Clinic PLLC (NPI 1053782755, Ocean Springs, MS); Tippah County Hospital (NPI 1174302574, Ripley, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 19, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1053639088) · Data from the CMS NPPES public registry.