Individual provider Active NPI

Misty Renee Lopez, PA-C

  • Physician Assistant
  • Springfield, MO
National Provider Identifier
1164513883
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2005015559 Issued in MO
Practice address
2052 W Buena Vista St
Springfield, MO 65810-1511
Phone
(417) 315-4911
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2005015559 MO Primary

Addresses

Primary practice location

2052 W Buena Vista St
Springfield, MO 65810-1511

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20051010000177 MO Practitioner - Physician Assistant 7810912813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocates for a Healthy Community IncGroup PAC ID 5395653562, 55 clinicians

Practice addresses (Care Compare)

440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 831-0150

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
74.39
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for a Healthy Community Inc CurrentSince Sep 15, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Dec 3, 2020 Accepting new patients
Advocates for a Healthy Community, Inc. Past Accepting new patients
Advocates for a Healthy Community, Inc Past Accepting new patients
Advocates for a Healthy Community, Inc PastSince Nov 22, 2020 Accepting new patients

Locations

119 N Ash St
Buffalo, MO 65622
Phone (417) 269-2200

33 Gage Dr
Hollister, MO 65672
Phone (417) 334-8300

1794 State Highway BB
Hollister, MO 65672
Phone (417) 824-1149

860 Lynn St
Lebanon, MO 65536
Phone (417) 334-8337

2020 Evergreen Pkwy
Lebanon, MO 65536
Phone (417) 334-8337

1166 Banning St
Marshfield, MO 65706
Phone (417) 851-1551

649 E Elm St
Republic, MO 65738
Phone (417) 851-1551

1720 W Grand St
Ste B
Springfield, MO 65802
Phone (417) 851-1625

2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281

618 N Benton Ave
Springfield, MO 65806
Phone (417) 851-1563

1720 W Grand St
Ste A
Springfield, MO 65802
Phone (417) 851-1625

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

2238 W Kingsley St
Springfield, MO 65807
Phone 4178310150 ext. 5911

Interoperability endpoints

  • Direct secure messaging: misty.lansberg@cernerdirect.coxhealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1164513883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 W BUENA VISTA ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101511",
            "telephone_number": "417-315-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MISTY",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2005015559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.