Individual provider Active NPI

Misty D Biciocchi, FNP

  • Nurse Practitioner
  • Alton, IL
National Provider Identifier
1013214576
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209008627 Issued in IL
Practice address
4 Memorial Dr
Ste 134
Alton, IL 62002-6705
Phone
(618) 607-1340
Fax
(618) 622-9724
NPI assigned
Feb 18, 2011
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209008627 IL Primary

Addresses

Primary practice location

4 Memorial Dr
Ste 134
Alton, IL 62002-6705

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (618) 607-1340

Other identifiers 1

IdentifierTypeStateIssuer
420040667MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110407000502 IL Practitioner - Nurse Practitioner 3779767298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (314) 362-7200

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (314) 362-7200

6 Memorial Dr
BLDG C
Alton, IL 62002-6751
Phone (618) 433-7979

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.01 of 100Reported as group
Quality
76.14
Promoting interoperability
99
Improvement activities
40
Cost
76.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209008627ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Physicians in Illinois, Inc CurrentSince Dec 2, 2019 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Dec 2, 2019 Accepting new patients
Washington University Physicians in Illinois, Inc Current Accepting new patients

Locations

4 Memorial Dr
Ste 134
Alton, IL 62002
Phone (618) 607-1340

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

4240 Duncan Ave
Ste 301
Saint Louis, MO 63110

660 S Euclid Ave
Saint Louis, MO 63110

660 S Euclid Ave
#8015
Saint Louis, MO 63110
Phone (314) 286-1018

660 S Euclid Ave
#8056
Saint Louis, MO 63110
Phone (314) 747-4901

660 S Euclid Ave
#C
Saint Louis, MO 63110

Networks

  • IL PPO Downstate
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IL HMO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1013214576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "618-607-1340",
            "fax_number": "618-622-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEMORIAL DR",
            "address_2": "STE 134",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026705",
            "telephone_number": "618-607-1340",
            "fax_number": "618-622-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICIOCCHI",
        "first_name": "MISTY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209008627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420040667",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4 Memorial Dr",
            "address_2": "Ste 134",
            "city": "Alton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620026705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.