Individual provider Active NPI

Misty Leeann Hurt, FNP

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1033828306
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP31920 Issued in TN
Practice address
2879 Highway 45 Byp Ste B
Jackson, TN 38305-3618
Phone
(731) 410-2250
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP31920 TN Primary

Addresses

Primary practice location

2879 Highway 45 Byp Ste B
Jackson, TN 38305-3618

Mailing address

175 Chestnut LN
Savannah, TN 38372-5624
Phone (731) 607-2413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230726001020 TN Practitioner - Nurse Practitioner 5395106173 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

768 Tennessee Ave S
Parsons, TN 38363-4607
Phone (731) 847-7772

Hospital & facility affiliations

  • Tennessee Quality Care - Home Health Home health agency, Parsons, TN, CCN 447402
  • Wayne Medical Center Hospital, Waynesboro, TN, CCN 440780
  • Hardin Medical Center Hospital, Savannah, TN, CCN 440109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP31920TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jul 12, 2023 Accepting new patients
Urgent & Specialty Care Clinic CurrentSince May 3, 2024 Accepting new patients
Tri-County Home Health and Hospice, LLC CurrentSince Jun 20, 2023 Accepting new patients
Tennessee Valley Home Care, LLC PastSince Sep 5, 2023 Accepting new patients
Family Medical Clinic of Trezevant PastSince Nov 1, 2022 Accepting new patients
Family Medical Clinic of Trezevant PastSince Nov 1, 2022 Accepting new patients

Locations

409 Walker Rd
Ste B
Jackson, TN 38305
Phone (731) 281-4786

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

6303 Cowboys Way
Ste 600
Frisco, TX 75034

Organizations & group practices 6

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.

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": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1033828306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CHESTNUT LN",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383725624",
            "telephone_number": "731-607-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 HIGHWAY 45 BYP STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053618",
            "telephone_number": "731-410-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "MISTY",
        "middle_name": "LEEANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "AP31920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.