Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ashley Nicole Chism, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1255181095

Ashley Nicole Chism, PMHNP-BC is a Nurse Practitioner in Hattiesburg, Mississippi. Qualified in 2023, 3 years ago. Practices with Region 12 Commission on Mental Health and Retardation Pine Belt Men, a 15-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

101 Beechwood Dr
Hattiesburg, MS 39402-1442
Phone: (601) 942-3399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 906594 (MS)

Record details

NPI number1255181095
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Region 12 Commission On Mental Health And Retardation Pine Belt Men — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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