Individual provider Active NPI

Misty Roben Summers, APRN

  • Adult Health Nurse Practitioner
  • Fishersville, VA
National Provider Identifier
1134634371
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024175691 Issued in VA
Practice address
66 Parkway LN Ste 101a
Fishersville, VA 22939-2385
Phone
(540) 451-2833
Fax
(540) 451-2837
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024175691 VA
Adult Health Nurse Practitioner 363LA2200X 0024175691 VA Primary

Addresses

Primary practice location

66 Parkway LN Ste 101a
Fishersville, VA 22939-2385

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

22 N Medical Park Dr
Fishersville, VA 22939-2344
Phone (540) 213-2630

Other practice location 2

563 Neff Ave Ste A
Harrisonburg, VA 22801-3765
Phone (540) 434-1759

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Misty.Summers@forefrontdermatology.emadirect.md
Direct Messaging Address Misty.Summers@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180125002219 VA Practitioner - Nurse Practitioner 3476812124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

66 Pkwy LN
Suite 101a
Fishersville, VA 22939-2385
Phone (540) 451-2833

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024175691VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jul 6, 2021 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Jul 6, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 23, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 23, 2019 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

66 Parkway Ln
Ste 101A
Fishersville, VA 22939
Phone (540) 451-2833

5201 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 262-6060

563 Neff Ave
Ste A
Harrisonburg, VA 22801
Phone (540) 214-9870

8644 Sudley Rd
#220
Manassas, VA 20110

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Organizations & group practices 5

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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1134634371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PARKWAY LN STE 101A",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392385",
            "telephone_number": "540-451-2833",
            "fax_number": "540-451-2837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 N Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392344",
            "country_code": "US",
            "telephone_number": "540-213-2630",
            "fax_number": "540-213-2631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "563 Neff Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228013765",
            "country_code": "US",
            "telephone_number": "540-434-1759",
            "fax_number": "540-434-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "MISTY",
        "middle_name": "ROBEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175691",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024175691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Misty.Summers@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "66 Parkway Ln Ste 101A",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229392385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Misty.Summers@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "563 Neff Ave Ste A",
            "city": "Harrisonburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228013765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.