Individual provider Active NPI

Amanda Wilkins Misso, RN

  • Family Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1477010668
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904241 Issued in MS
Practice address
107 Brandon Rd
Starkville, MS 39759-2521
Phone
(662) 615-3771
Fax
(662) 615-3775
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 904241 MS Primary

Addresses

Primary practice location

107 Brandon Rd
Starkville, MS 39759-2521

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Other practice location 1

400 Hospital Rd
Starkville, MS 39759-2163
Phone (662) 323-4230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20210730002704 MS Practitioner - Nurse Practitioner 7810390689 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Och Professional ServicesGroup PAC ID 9739252396, 31 clinicians

Practice addresses (Care Compare)

107 Brandon Rd
Starkville, MS 39759-2521
Phone (662) 240-1412

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904241MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Och Professional Services CurrentSince Mar 16, 2025 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Oktibbeha County Hospital Current Accepting new patients
Och Medical Associates CurrentSince Aug 2, 2021 Accepting new patients
Och Pulmonology Current Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320

107 Brandon Rd
Starkville, MS 39759
Phone (662) 324-1291

350 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 226-4003

Interoperability endpoints

  • Direct secure messaging: amandamisso@och.allscriptsdirect.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/f7116466-8e41-49c8-9954-f17bc6610b23/
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/829eb3e2-1c27-407b-88f0-bbe9462e3c9c

Organizations & group practices 7

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 4

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1477010668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BRANDON RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592521",
            "telephone_number": "662-615-3771",
            "fax_number": "662-615-3775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592163",
            "country_code": "US",
            "telephone_number": "662-323-4230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISSO",
        "first_name": "AMANDA",
        "middle_name": "WILKINS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.