JESSICA LYNN BYRD (WHNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164613907

JESSICA LYNN BYRD (WHNP, PMHNP-BC) is a healthcare provider. based in Bethpage, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials WHNP, PMHNP-BC. They hold a License No. 17195 (TN). The NPI Number for JESSICA LYNN BYRD (WHNP, PMHNP-BC) is 1164613907

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LYNN BYRD (WHNP, PMHNP-BC)
NPI
1164613907
Phone
(615) 497-6874
Address
40 SNAKE HOLLOW RD
Enumeration Date
7 August 2007
Last Update Date
31 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
4385939818
Professional Enrollment ID
I20260430000583
Address ID
TN370224672Be40XXXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:18State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for JESSICA LYNN BYRD (WHNP, PMHNP-BC)

  • 40 SNAKE HOLLOW RD

    BETHPAGE, TN 370224672

    Phone: (615) 497-6874

    Type: Mailing

  • 156 N WATER AVE STE 3

    GALLATIN, TN 370662846

    Phone: (615) 524-1022

    Fax: (888) 244-1057

    Type: Location

  • Auto Body Center, 437, East Main Street, Bozeman, Gallatin County, Montana, 59715, United States

    GALLATIN, TN 370662982

    Phone: (615) 497-6874

    Fax: (615) 452-8705

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160823002872INurse PractitionerTNTBD
I20250131000752INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37022)

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Reviews

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Frequently asked questions

Can I cross-check JESSICA LYNN BYRD (WHNP, PMHNP-BC) using NPI 1164613907?
NPI 1164613907 belongs to JESSICA LYNN BYRD (WHNP, PMHNP-BC); compare other details if you need extra assurance.
Is there an active status for JESSICA LYNN BYRD (WHNP, PMHNP-BC)?
For scheduling context, JESSICA LYNN BYRD (WHNP, PMHNP-BC) is shown as active in the registry.
What expertise is attributed to JESSICA LYNN BYRD (WHNP, PMHNP-BC)?
JESSICA LYNN BYRD (WHNP, PMHNP-BC)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JESSICA LYNN BYRD (WHNP, PMHNP-BC)?
Directory geography for JESSICA LYNN BYRD (WHNP, PMHNP-BC) centers on Bethpage, Tennessee.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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