ALISHA KAY PREVOST (PMHNP-BC) – Registered Nurse, NPI 1356951149

ALISHA KAY PREVOST (PMHNP-BC) is a healthcare provider. based in Beaumont, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1077025 (TX). The NPI Number for ALISHA KAY PREVOST (PMHNP-BC) is 1356951149

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ALISHA KAY PREVOST (PMHNP-BC)
NPI
1356951149
Phone
(409) 338-2474
Address
350 PINE ST STE 335
Enumeration Date
6 August 2020
Last Update Date
3 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4093798911
Graduation Year
2021 (5 years ago)
PAC ID
9537545421
Group Practice PAC ID
4486827391
Professional Enrollment ID
I20220929002313
Address ID
TX759663816NE405XXLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ALISHA KAY PREVOST (PMHNP-BC)

  • 350 PINE ST STE 335

    BEAUMONT, TX 777012454

    Phone: (409) 338-2474

    Type: Mailing

  • 13610 ROLLING HILLS DR

    BEAUMONT, TX 777138409

    Phone: (409) 338-2474

    Type: Location

  • 105 CANYON LAKE CIR

    LUMBERTON, TX 776573701

    Phone: (409) 200-2220

    Fax: (409) 440-3344

    Type: Mailing

  • 3250 Medical Center Dr

    Beaumont, TX 777014627

    Phone: (409) 813-1765

    Type: Location

  • 105 Canyon Lake Cir

    Lumberton, TX 776573701

    Phone: (409) 200-2220

    Fax: (409) 440-3344

    Type: Location

  • 4749 Odom Rd

    Beaumont, TX 777067080

    Phone: (409) 200-2220

    Fax: (409) 440-3344

    Type: Location

  • 2750 S 8TH ST

    BEAUMONT, TX 777017719

    Phone: (409) 839-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $500.

Total Amount is formed as General ($500) + Research ($0) + Ownership ($0) = $500.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($263).

Total Amount

$500

General + Research + Ownership

Payments

8

Total payment records

General Amount

$500

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20220929002313INurse PractitionerTXTBD

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 77701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486827391View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
P S Y C H I A T R YTX
Nurse PractitionerTX
Nurse PractitionerTX
-MO
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is ALISHA KAY PREVOST (PMHNP-BC) listed with a National Provider Identifier?
Yes — ALISHA KAY PREVOST (PMHNP-BC) has NPI 1356951149 on file in the registry.
Would ALISHA KAY PREVOST (PMHNP-BC) appear as active to a payer?
You can treat ALISHA KAY PREVOST (PMHNP-BC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe ALISHA KAY PREVOST (PMHNP-BC)'s focus?
For ALISHA KAY PREVOST (PMHNP-BC), the primary taxonomy reads as Registered Nurse. Clinical services aligned with this taxonomy classification.
Is ALISHA KAY PREVOST (PMHNP-BC) associated with Beaumont?
Public fields place ALISHA KAY PREVOST (PMHNP-BC) around Beaumont, Texas. Always confirm the exact site before visiting.
Does ALISHA KAY PREVOST (PMHNP-BC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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