NPIMap

Individual provider Active NPI

Misty Leeanne Denevan, RN

  • Nurse Practitioner
  • West Plains, MO
National Provider Identifier
1477044162
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018024053 Issued in MO
Practice address
1100 N Kentucky Ave
West Plains, MO 65775
Phone
(417) 256-9111
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2004020401 MO
Family Nurse Practitioner 363LF0000X 2018024053 MO
Nurse Practitioner 363L00000X 2018024053 MO Primary

Addresses

Primary practice location

1100 N Kentucky Ave
West Plains, MO 65775

Mailing address

100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 533-6100

Other practice location 1

100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 533-6100

Other practice location 2

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 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
I20180723001076 MO Practitioner - Nurse Practitioner 7517214505 Reassigns benefits to 8 organizations
I20210513001918 AR Practitioner - Nurse Practitioner 7517214505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Mercy Hospital SpringfieldGroup PAC ID 7416867593, 54 clinicians
Skaggs Community Hospital AssociationGroup PAC ID 5092624320, 222 clinicians
North Arkansas Regional Medical CenterGroup PAC ID 5193615896, 86 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 553-6059

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 335-7000

620 N Mail St
Harrison, AR 72601-2911
Phone (870) 414-4000

Hospital & facility affiliations

  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065
  • North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017
  • Cox Medical Center Branson Hospital, Branson, MO, CCN 260094

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004020401MOMDRegistered Nurse
2018024053MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Family CurrentSince Sep 24, 2018 Accepting new patients
Mercy Hospital Springfield CurrentSince Feb 17, 2025 Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Nov 4, 2023 Accepting new patients
Michael S. Clarke, M.D., P.a. Current Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jul 1, 2025 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Feb 9, 2021 Accepting new patients
Skaggs Community Hospital Association CurrentSince Jul 12, 2018 Accepting new patients
Ozarks Medical Center CurrentSince Sep 28, 2024 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Nov 18, 2025 Accepting new patients
Skaggs Community Hospital Association CurrentSince Jul 12, 2018 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Feb 9, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 24, 2018 Accepting new patients
Mercy Hospital Springfield CurrentSince Feb 17, 2025 Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

620 N Main St
Ste A
Harrison, AR 72601
Phone (870) 414-4599

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 12

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1477044162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369210",
            "telephone_number": "417-533-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "65775",
            "telephone_number": "417-256-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "MO",
            "postal_code": "655369210",
            "country_code": "US",
            "telephone_number": "417-533-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-8899",
            "fax_number": "573-341-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENEVAN",
        "first_name": "MISTY",
        "middle_name": "LEEANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2004020401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018024053",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018024053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.