Karissa Marie Misner, DO

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

4643 Issued in OK

Practice address

300 Rockefeller Dr
Rehabilitation Unit
Muskogee, OK 74401-5075

Phone

(918) 684-2522

Fax

(918) 684-2493

NPI assigned

Jan 22, 2007

Last updated

Dec 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and RehabilitationAlso: Hospice/Palliative Care, Hospitalist

Education

Lake Erie College of Osteopathic Medicine, Erie, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Medical Services LLCGroup PAC ID 0042603599, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Center for Hospice and Palliative Care Inc, the Hospice, Mishawaka, IN, CCN 151501
• Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• The Center for Hospice and Palliative Care, Inc

  dba Center For Hospice Care

  • Community Based Hospice Care Agency
  • Mishawaka, IN
  • NPI 1720131543

  W-2 Managing Employee

  CMS ownership

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.

• Center for Medical Services LLC

  • General Practice Physician
  • Mishawaka, IN
  • NPI 1700544509
  Medicare reassignment Care Compare group NPD
• Beacon Medical Group, Inc.

  dba Beacon Medical Group Schwartz - Wiekamp

  • Family Medicine Physician
  • Mishawaka, IN
  • NPI 1033161617
  Medicare reassignment NPD
• Karissa Misner PLLC

  • Physical Medicine & Rehabilitation Physician
  • Muskogee, OK
  • NPI 1740548551
  Authorized official Same address or phone
• Beacon Medical Group Inc

  dba Beacon Medical Group Anesthesia Elkhart

  • Anesthesiology Physician
  • Elkhart, IN
  • NPI 1437803285
  NPD
• Beacon Medical Group, Inc.

  dba Beacon Bone and Joint Specialists

  • Critical Care Medicine (Internal Medicine) Physician
  • Elkhart, IN
  • NPI 1821222829

  Physical Medicine & Rehabilitation

  NPD
• Beacon Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • South Bend, IN
  • NPI 1831149525
  NPD (past)

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

• Iom Health System LP

  dba Lutheran Hospital of Indiana

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1306897335
  Care Compare affiliation
• The Center for Hospice and Palliative Care, Inc

  dba Center For Hospice Care

  • Community Based Hospice Care Agency
  • Mishawaka, IN
  • NPI 1720131543
  Care Compare affiliation

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1063566818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 E KENOSHA ST",
            "address_2": "PMB 326",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122007",
            "telephone_number": "918-615-6581",
            "fax_number": "918-893-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROCKEFELLER DR",
            "address_2": "REHABILITATION UNIT",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015075",
            "telephone_number": "918-684-2522",
            "fax_number": "918-684-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISNER",
        "first_name": "KARISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "4643",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "4643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200215510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy Miller
• Michella Miller, RN
• Nikki Renee Miller
• Tonickia Sharron Miller
• Mind Body & Soul Physical Therapy
• Allison Mitchell, BSN, RN
• Christopher Matthew Mitchell, M.D.
• Karen Kylene Mitchell, DPH
• Eric W Mix, DO
• Stormi Noelle Mobbs

• Hospitalist Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Hospitalist Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.