Active NPI
Misty R Goldson, PMHNP, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Somerset, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3004253
- Practice address
- 600 Monticello St Ste 1
Somerset, KY 42501-2974 - Phone
- (606) 400-2227
- Fax
- (606) 332-0576
- NPI assigned
- Aug 2, 2005
- Last updated
- Feb 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3004253 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3004253 | KY | Primary |
Addresses
Primary practice location
600 Monticello St Ste 1
Somerset, KY 42501-2974
Mailing address
PO Box 142
Burnside, KY 42519-0142
Phone (606) 400-2227
Other names 1
- Miss Misty R Decker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
600 Monticello St
Suite 1
Somerset, KY 42501-2974
Phone (606) 400-2227
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southfork Medical Clinic PLLC | Current | Accepting new patients | |
| Quest Counseling | Nurse Practitioner | Current | Accepting new patients |
| Southfork Medical Clinic PLLC | Current | Accepting new patients | |
| Cumberland Family Clinic, PLLC | Current | Accepting new patients | |
| Enlighten Mental Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
10550 S Highway 27
Ste 3
Burnside, KY 42519
57 Hogue Rd
Pine Knot, KY 42635
Phone (606) 354-9444
600 Clifty St
Ste 2
Somerset, KY 42503
Phone (606) 678-0026
600 Monticello St
Ste 1
Somerset, KY 42501
Phone (606) 400-2227
71 Medical Ln
Whitley City, KY 42653
Phone (606) 376-7212
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Somerset, KY
- NPI 1962278507
-
- Rural Health Clinic/Center
- Pine Knot, KY
- NPI 1366703159
-
dba Heather Lawhorn
- Mental Health Counselor
- Somerset, KY
- NPI 1215475561
Nurse Practitioner
-
dba South Fork Clinic PLLC
- Rural Health Clinic/Center
- Whitley City, KY
- NPI 1205616265
-
- Specialist
- Whitley City, KY
- NPI 1295718757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740182400000",
"number": "1528069531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 142",
"city": "BURNSIDE",
"state": "KY",
"postal_code": "425190142",
"telephone_number": "606-400-2227",
"fax_number": "606-332-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MONTICELLO ST STE 1",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012974",
"telephone_number": "606-400-2227",
"fax_number": "606-332-0576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSON",
"first_name": "MISTY",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "PMHNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2025-02-22",
"certification_date": "2025-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3004253",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3004253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISTY",
"last_name": "DECKER",
"middle_name": "R",
"prefix": "MISS",
"credential": "PMHNP, FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.