HERNANDO PSYCHIATRY LLC
NPI 1912600750
Nurse Practitioner - Psychiatric/Mental Health in Hernando, MS
About Hernando Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERNANDO PSYCHIATRY LLC (NPI 1912600750), doing business as Hernando Psychiatry, is a healthcare organization registered as a psychiatric/mental health in Hernando, Mississippi and active in the NPI registry since March 2023. The organization lists Ethan Tyler Smitherman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hernando Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Hernando Psychiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Hernando Psychiatry LLC's NPI number?
The NPI number for Hernando Psychiatry LLC is 1912600750. It was assigned to this organization in the NPPES registry on March 22, 2023. The provider is doing business as Hernando Psychiatry.
Where is Hernando Psychiatry LLC located?
Hernando Psychiatry LLC is located at 324 W Valley St Ste 108, Hernando, MS 38632. The listed phone number is (901) 491-0130.
What is Hernando Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Hernando Psychiatry LLC enrolled in Medicare?
Yes. Hernando Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hernando Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Hernando Psychiatry LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Hernando Psychiatry LLC accept?
Health plans from Molina Healthcare list Hernando Psychiatry LLC 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 Hernando Psychiatry LLC was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Hernando Psychiatry Llc · NPI 1912600750
Psychiatric/Mental Health organization in Hernando, Mississippi. Organization record, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1912600750 (Entity type: Organization)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Hernando Psychiatry (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ethan Smitherman, OWNER
## Practice location
- **Address:** 324 W VALLEY ST STE 108, Hernando, MS 38632-1749
- **Phone:** (901) 491-0130
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1912600750) · Data from the CMS NPPES public registry.