ASHLEY NICOLE CHISM PMHNP-BC
NPI 1255181095
Nurse Practitioner - Psychiatric/Mental Health in Hattiesburg, MS
About Ashley Nicole Chism Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY NICOLE CHISM PMHNP-BC (NPI 1255181095) is an individual psychiatric/mental health provider in Hattiesburg, Mississippi, licensed in Mississippi (906594) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Ashley Nicole Chism Pmhnp-bc 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 Reassignment
Medicare enrollment records show Ashley Chism reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 35 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ashley Chism's NPI number?
The NPI number for Ashley Chism is 1255181095. It was assigned to this individual provider in the NPPES registry on March 25, 2024.
Where is Ashley Chism located?
Ashley Chism practices at 101 Beechwood Dr, Hattiesburg, MS 39402. The listed phone number is (601) 942-3399.
What is Ashley Chism's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ashley Chism enrolled in Medicare?
Yes. Ashley Chism 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 organization bills Medicare for Ashley Chism's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Chism reassigns Medicare benefits to Region 12 Commission On Mental Health & Retardation Pine Belt Men (Hattiesburg, MS). The 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 Ashley Chism's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ashley Chism was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ashley Nicole Chism, PMHNP-BC · NPI 1255181095
Psychiatric/Mental Health physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since March 25, 2024.
## Identity
- **NPI:** 1255181095 (Entity type: Individual)
- **Enumerated:** March 25, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 906594 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 BEECHWOOD DR, Hattiesburg, MS 39402-1442
- **Phone:** (601) 942-3399
## 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:** Region 12 Commission On Mental Health & Retardation Pine Belt Men (NPI 1982610572, Hattiesburg, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255181095) · Data from the CMS NPPES public registry.