NPIMap

Individual provider Active NPI

Misty Cichoracki, FNP

  • Nurse Practitioner
  • Arvada, CO
National Provider Identifier
1205657632
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1000050-NP Issued in CO
Practice address
7542 Pierce St
Arvada, CO 80003-2815
Phone
(303) 517-4478
NPI assigned
Oct 18, 2024
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1000050-NP CO Primary

Addresses

Primary practice location

7542 Pierce St
Arvada, CO 80003-2815

Mailing address

7542 Pierce St
Arvada, CO 80003-2815
Phone (303) 517-4478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428003912 SD Practitioner - Nurse Practitioner 9335665843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgery of South Dakota PCGroup PAC ID 5698195030, 67 clinicians

Practice addresses (Care Compare)

1635 Caregiver Cir
RM 2 238
Rapid City, SD 57702-8529
Phone (605) 755-4540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1000050-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery of South Dakota PC CurrentSince Mar 1, 2025 Accepting new patients

Locations

2805 5th St
Rapid City, SD 57701
Phone (605) 719-5650

Organizations & group practices 1

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1205657632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7542 PIERCE ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032815",
            "telephone_number": "303-517-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7542 PIERCE ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032815",
            "telephone_number": "303-517-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHORACKI",
        "first_name": "MISTY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "1000050-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.