Individual provider Active NPI

Misty Dawn Vyhlidal, APRN

  • Family Nurse Practitioner
  • Pittsburg, KS
National Provider Identifier
1215794797
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-82954-111 Issued in KS
Practice address
3011 N Michigan St
Pittsburg, KS 66762-2546
Phone
(620) 231-9873
NPI assigned
Mar 1, 2024
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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 53-82954-111 KS Primary

Addresses

Primary practice location

3011 N Michigan St
Pittsburg, KS 66762-2546

Mailing address

981 S 210TH St
Pittsburg, KS 66762-6272
Phone (620) 687-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20240416003762 KS Practitioner - Nurse Practitioner 2961702238 Reassigns benefits to 2 organizations
I20250604001241 MO Practitioner - Nurse Practitioner 2961702238 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
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, shared by 3 NPIs, 288 clinicians

Practice addresses (Care Compare)

1717 S Range Line Rd B
MC Lab and Imaging S Rangeline
Joplin, MO 64804-3224
Phone (417) 623-2207

444 Four States Dr
Suite 1
Galena, KS 66739-4325
Phone (877) 783-4441

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-82954-111KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Mar 10, 2025 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Mar 10, 2025 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Apr 22, 2024 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Apr 22, 2024 Accepting new patients

Locations

220 N Pennsylvania Ave
Columbus, KS 66725
Phone (620) 429-2545

403 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (417) 556-4762

444 Four States Dr
Ste 1
Galena, KS 66739
Phone (877) 783-4441

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

1011 S Mount Carmel Pl
Pittsburg, KS 66762
Phone (620) 231-6160

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1717 S Range Line Rd
Ste B
Joplin, MO 64804
Phone (417) 556-2231

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1215794797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 S 210TH ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626272",
            "telephone_number": "620-687-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 N MICHIGAN ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622546",
            "telephone_number": "620-231-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYHLIDAL",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82954-111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.