Individual provider Active NPI

Misty Lawley Ralyea, CRNP

  • Family Nurse Practitioner
  • Lincoln, AL
National Provider Identifier
1386949873
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-081968 Issued in AL
Practice address
47344 US Highway 78
Lincoln, AL 35096-6748
Phone
(205) 763-7848
Fax
(205) 763-7235
NPI assigned
Jan 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 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 1-081968 AL Primary

Addresses

Primary practice location

47344 US Highway 78
Lincoln, AL 35096-6748

Mailing address

PO Box 11407
Birmingham, AL 35202-1407

Other practice location 1

Uab Hospital 625 19th St S
Birmingham, AL 35249-0001
Phone (205) 996-5146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120504000438 AL Practitioner - Nurse Practitioner 6709048903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHC - LincolnGroup PAC ID 1456255090, 4 clinicians
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

47344 US Hwy 78
Lincoln, AL 35096-6748

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Pell City, AL, CCN 017167
  • Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
  • Citizens Baptist Medical Center Hospital, Talladega, AL, CCN 010101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-081968ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Sue Suggs Current Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Dec 14, 2014 Accepting new patients
Premier NP Inc Family CurrentSince Feb 3, 2021 Accepting new patients
Baptist Health Centers LLC CurrentSince Jan 2, 2018 Accepting new patients
Baptist Health Centers, LLC CurrentSince Jan 2, 2018 Accepting new patients

Locations

750 AL Highway 75 N
Albertville, AL 35951
Phone (253) 362-4197

619 19th St S
Birmingham, AL 35249

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

47344 US Highway 78
Lincoln, AL 35096
Phone (205) 763-7848

1508 Cogswell Ave
Pell City, AL 35125
Phone (205) 814-1598

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 3

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": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1386949873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352021407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47344 US HIGHWAY 78",
            "city": "LINCOLN",
            "state": "AL",
            "postal_code": "350966748",
            "telephone_number": "205-763-7848",
            "fax_number": "205-763-7235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uab Hospital 625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352490001",
            "country_code": "US",
            "telephone_number": "205-996-5146",
            "fax_number": "205-996-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALYEA",
        "first_name": "MISTY",
        "middle_name": "LAWLEY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-081968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, AL

Sources for this page

Verify at the official NPI Registry.