Misty M Case
Individual provider Active NPI Case Manager/Care Coordinator · Grove, OK
NPI 1497498562 · NPPES record last updated Apr 18, 2022
Key facts
- NPI
- 1497498562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1115 Har-Ber Road
Grove, OK 74344 - Phone
- (918) 786-4434
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
114 W Delaware Ave
Nowata, OK 74048-2601
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260430000611 | OK | Practitioner - Mental Health Counselor | 9032686795 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Lake Mental Health Center, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1115 Har-Ber Road
Grove, OK 74344
Mailing address
1115 Har-Ber Road
Grove, OK 74344
Other providers in Grove, OK
- Paula Calvin
- Jill Jolene Carbajal
- Carl'S Hometown Pharmacy LLC
- Shauna Leann Carriger
- Olivia Michelle Carter
- Tina Louise Causey
- Paige Nicole Chamberlain
- Samantha L Chamberlain
- Emily Ann Chandler
- James B Chapman
All providers in Grove, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.