Active NPI
Misty Dawn Cain, FNP
- Nurse Practitioner
- Farmington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2007018319
- Practice address
- 555 W Pine St
Farmington, MO 63640-1439 - Phone
- (573) 747-1510
- Fax
- (573) 747-1512
- NPI assigned
- Feb 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2007018319 | MO | Primary |
Addresses
Primary practice location
555 W Pine St
Farmington, MO 63640-1439
Mailing address
555 W Pine St
Farmington, MO 63640-1439
Phone (573) 747-1510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200302001162 | MO | Practitioner - Nurse Practitioner | 3476980533 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iron County Hospital District
Practice addresses (Care Compare)
301 N Hwy 21
Pilot Knob, MO 63663-7862
Phone (573) 546-0184
Hospital & facility affiliations
- Iron County Medical Center
- Mercy Hospital Jefferson
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.62 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007018319 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iron County Hospital District | Current | Accepting new patients | |
| Iron County Hospital District | Current | Accepting new patients | |
| Midwest Health Group LLC | Current | Accepting new patients | |
| Mercy Clinic East Communities | Past | Accepting new patients |
Locations
555 W Pine St
Ste 300
Farmington, MO 63640
Phone (573) 747-1510
555 W Pine St
Farmington, MO 63640
Phone (573) 474-1510
Interoperability endpoints
- misty.cain.1@16878.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Pilot Knob, MO
- NPI 1073799367
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Hospital & facility affiliations 2
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": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1013548403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W PINE ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401439",
"telephone_number": "573-747-1510",
"fax_number": "573-747-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 W PINE ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401439",
"telephone_number": "573-747-1510",
"fax_number": "573-747-1512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "MISTY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2007018319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.