Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KANISHA M MCKNIGHT
NPI 1922949429
Nurse Practitioner - Psychiatric/Mental Health in Tylertown, MS

Active since April 01, 2026PECOS Enrolled
40 Q D DILLON RD, TYLERTOWN, MS 39667(601) 814-0757 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kanisha M Mcknight NPPES

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

KANISHA M MCKNIGHT (NPI 1922949429) is an individual psychiatric/mental health provider in Tylertown, Mississippi, licensed in Mississippi (2026000497) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1922949429
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKANISHA M MCKNIGHT
Location Address40 Q D DILLON RDTylertown, MS 39667-5301
Mailing Address40 Q D Dillon RdTylertown, MS 39667-5301
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateApril 1, 2026
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1922949429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 2026000497
40 Q D DILLON RD, Tylertown, MS 39667

Secondary Practice Locations 3

Location 11137 Highway 98 Byp Ste 4Columbia, MS 39429-3754 · Phone (769) 313-2013 · Fax (601) 612-3996
Location 23200B Highway 11 NPicayune, MS 39466-2003 · Phone (769) 926-1137 · Fax (601) 612-3996
Location 3833 Highway 90 Ste 19Bay St Louis, MS 39520-1601 · Phone (228) 344-8770 · Fax (601) 612-3996

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanisha M Mcknight is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820554793
PECOS Enrollment IDI20260730003442
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.

Medicare Billing Reassignment

Medicare enrollment records show Kanisha Mcknight reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1390 29TH AVE STE B
Gulfport, MS 39501
  • Reassigned Medicare billing, Mississippi enrollment
  • 12 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 39667 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.

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 Kanisha Mcknight's NPI number?

The NPI number for Kanisha Mcknight is 1922949429. It was assigned to this individual provider in the NPPES registry on April 1, 2026.

Where is Kanisha Mcknight located?

Kanisha Mcknight practices at 40 Q D Dillon Rd, Tylertown, MS 39667. The listed phone number is (601) 814-0757.

What is Kanisha Mcknight's specialty?

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

Is Kanisha Mcknight enrolled in Medicare?

Yes. Kanisha Mcknight is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kanisha Mcknight's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanisha Mcknight reassigns Medicare benefits to Premier Professional Counseling Services, LLC (Gulfport, 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 Kanisha Mcknight's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kanisha Mcknight accept?

Health plans from Anthem Blue Cross and Blue Shield, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Kanisha Mcknight 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 Kanisha Mcknight was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.