Individual provider Active NPI

Mistie Rhena Pritchard, FNP

  • Family Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1114761640
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020270 Issued in NC
Practice address
220 13TH Avenue PL NW
Hickory, NC 28601-2532
Phone
(828) 328-5646
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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 5020270 NC Primary

Addresses

Primary practice location

220 13TH Avenue PL NW
Hickory, NC 28601-2532

Mailing address

1985 Tate Blvd SE Ste 551
Hickory, NC 28602-1469
Phone (980) 748-6386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240730000674 NC Practitioner - Nurse Practitioner 2567909393 Reassigns benefits to 2 organizations
I20260219004544 SC Practitioner - Nurse Practitioner 2567909393 Reassigns benefits to 1 organization

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)

6870 W 52ND Ave
Suite 102
Arvada, CO 80002-3952

885 Gold Hill Rd
Suite 253
Fort Mill, SC 29708-7946

Hospital & facility affiliations

  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5020270NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Jun 22, 2024 Accepting new patients
Summit Medical Carolinas PLLC CurrentSince Jun 23, 2025 Accepting new patients
Summit Medical Carolinas LLC CurrentSince Oct 25, 2025 Accepting new patients
Theoria Medical Past Accepting new patients

Locations

9250 E Costilla Ave
Ste 540
Greenwood Village, CO 80112

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

9935D Rea Rd
Charlotte, NC 28277
Phone (912) 401-9450

8430 Rea Rd
Ste E
Charlotte, NC 28277
Phone (980) 443-6788

220 13th Avenue Pl NW
Hickory, NC 28601
Phone (828) 328-5456

1985 Tate Blvd SE
Ste 551
Hickory, NC 28602
Phone (980) 443-6788

3031 Tate Blvd SE
Hickory, NC 28602
Phone (828) 322-3343

1985 Tate Blvd SE
Ste 5
Hickory, NC 28602
Phone (980) 443-6788

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

885 Gold Hill Rd
Fort Mill, SC 29708
Phone (803) 752-0106

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.

Hospital & facility affiliations 1

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": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1114761640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 TATE BLVD SE STE 551",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021469",
            "telephone_number": "980-748-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 13TH AVENUE PL NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012532",
            "telephone_number": "828-328-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "MISTIE",
        "middle_name": "RHENA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.