Misty Sharp Ingram, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-105535 Issued in AL

Practice address

52 S Valley Ave
Collinsville, AL 35961-3263

Phone

(256) 524-3090

NPI assigned

Jun 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13303/brand/1/csg/1/fhir/r4
• Direct secure messaging: misty.ingram.1@13303.direct.athenahealth.com

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.

• Wills Valley Family Medicine LLC

  • Family Medicine Physician
  • Collinsville, AL
  • NPI 1316103237
  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1437774080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 S VALLEY AVE",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "359613263",
            "telephone_number": "256-524-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 S VALLEY AVE",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "359613263",
            "telephone_number": "256-524-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "MISTY",
        "middle_name": "SHARP",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-105535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collinsville Nursing Home, Inc
• Dekalb Baptist Medical Center Home Health
• Fort Payne Clinic Corp
• Fort Payne RHC Corp
• Pamela Gibson, CRNP
• Sunil K Jaiswal, MD
• Judith Womack Jones, ARNP
• Kilgore Express Pharmcy Inc
• Frances H. Koe, MD
• Julie Menk, CCC-SLP

• Family Nurse Practitioner in Collinsville, AL
• Providers in Collinsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.