NPIMap

Individual provider Active NPI

Misty K Falcon, NP

  • Family Nurse Practitioner
  • Williston, ND
National Provider Identifier
1417983164
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R26168 Issued in ND
Practice address
3 4TH St E
Williston, ND 58801-5350
Phone
(701) 577-9255
Fax
(701) 577-2881
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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 171311 CO
Family Nurse Practitioner 363LF0000X R26168 ND Primary

Addresses

Primary practice location

3 4TH St E
Williston, ND 58801-5350

Mailing address

3 4TH St E
Williston, ND 58801-5350
Phone (701) 577-9255

Other identifiers 1

IdentifierTypeStateIssuer
71038710MedicaidCO

Other names 1

  • Misty K Carrington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110106000911 ND Practitioner - Nurse Practitioner 5395728059 Reassigns benefits to 3 organizations
I20210826000442 TX Practitioner - Nurse Practitioner 5395728059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trenton Indian Service AreaGroup PAC ID 8022009430, 8 clinicians

Practice addresses (Care Compare)

331 4TH Ave E
Trenton, ND 58853-9998
Phone (701) 774-0461

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
171311COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trenton Indian Service Area CurrentSince Aug 1, 2021 Accepting new patients
Mercy Medical Center CurrentSince Sep 2, 2025 Accepting new patients
Elite Specialty Clinics, Inc. CurrentSince Aug 2, 2012 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Medical Center Current Accepting new patients
Elite Specialty Clinics, Inc. CurrentSince Aug 2, 2012 Accepting new patients
Mercy Home Care CurrentSince Sep 2, 2025 Accepting new patients
Fairlight Medical Center Past Accepting new patients
Williston Radiology Consultants PC Past Accepting new patients
Montana Migrant and Seasonal Farmworkers Council Inc PastSince Feb 27, 2025 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

3369 Solutions Ctr
Chicago, IL 60677

512 Main St
Williston, ND 58801
Phone (701) 774-0320

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

Interoperability endpoints

  • Direct secure messaging: mistyfalcon@normd.allscriptsdirect.net

Organizations & group practices 11

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1417983164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 4TH ST E",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015350",
            "telephone_number": "701-577-9255",
            "fax_number": "701-577-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 4TH ST E",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015350",
            "telephone_number": "701-577-9255",
            "fax_number": "701-577-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCON",
        "first_name": "MISTY",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "171311",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R26168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71038710",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "CARRINGTON",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williston, ND

Sources for this page

Verify at the official NPI Registry.