Misty Hallonquist Blalock, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

651612 Issued in TX

Practice address

1304 Linda Dr
Daingerfield, TX 75638-2130

Phone

(430) 226-5110

Fax

(430) 226-5111

NPI assigned

Aug 9, 2005

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Misty H Morrissey Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Merit-based Incentive Payment System (MIPS)

Final score

87.3 of 100Reported as group

Quality

76.18

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Navarro Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Corsicana, TX
  • NPI 1851523252
  Medicare reassignment NPD
• Odessa Physician Associates, PLLC

  • Emergency Medicine Physician
  • Odessa, TX
  • NPI 1457398364
  Medicare reassignment NPD
• Texarkana Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Texarkana, TX
  • NPI 1871813345
  Medicare reassignment NPD
• Total Point - Desoto LLC

  dba Total Point Primary & Family Care

  • Family Medicine Physician
  • Lindale, TX
  • NPI 1104590330
  Medicare reassignment NPD
• East Texas Medical Center Healthcare Associates

  dba First Physicians

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1124062484
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1114928439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 LINDA DR",
            "city": "DAINGERFIELD",
            "state": "TX",
            "postal_code": "756382130",
            "telephone_number": "430-226-5110",
            "fax_number": "430-226-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Private Road 54166",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "TX",
            "postal_code": "75686",
            "country_code": "US",
            "telephone_number": "903-573-2134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Pine St",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "75501",
            "country_code": "US",
            "telephone_number": "903-798-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "MISTY",
        "middle_name": "HALLONQUIST",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "651612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12008144",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "MORRISSEY",
            "middle_name": "H",
            "prefix": "DR.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Autumn Marie Barnard, FNP
• Maria Bello
• Lynn Bourdon, M.D.
• Brookshire Grocery Company (Brookshires Pharmacy)
• Daingerfield-Lone Star Isd
• Dickinson & Wells PLLC
• Ronald Dickinson, PA-C

• Family Nurse Practitioner in Daingerfield, TX
• Providers in Daingerfield, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.

Verify at the official NPI Registry.