Individual provider Active NPI

Misty Dawn Birney, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1578866596
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2010041400 Issued in MO
Practice address
12660 Lamplighter SQR Shppng Ctr
Suite J
Saint Louis, MO 63128-2761
Phone
(314) 394-1379
Fax
(314) 394-1377
NPI assigned
Dec 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2012

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 2010041400 MO Primary

Addresses

Primary practice location

12660 Lamplighter SQR Shppng Ctr
Suite J
Saint Louis, MO 63128-2761

Mailing address

12660 Lamplighter SQR Shppng Ctr
J
Saint Louis, MO 63128-2761
Phone (314) 394-1379

Other identifiers 1

IdentifierTypeStateIssuer
150770001OtherMOMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110315000353 MO Practitioner - Nurse Practitioner 3779639331 Reassigns benefits to 1 organization
I20170406000671 IL Practitioner - Nurse Practitioner 3779639331 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010041400MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tauc Il, PC CurrentSince Aug 29, 2024 Accepting new patients
Total Access Urgent Care, PC CurrentSince Feb 15, 2019 Accepting new patients
Total Access Urgent Care, PC CurrentSince Feb 15, 2019 Accepting new patients
Granite City Hospitalist Services LLC CurrentSince Feb 25, 2017 Accepting new patients
Christopher T. Labonte MD LLC PastSince Oct 1, 2022 Accepting new patients

Locations (25 of 30)

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

400 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703

404 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703

9538 Gravois Rd
Affton, MO 63123
Phone (314) 932-0817

12409 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 455-4046

2501 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 778-9989

10923 Olive Blvd
Creve Coeur, MO 63141
Phone (314) 764-2953

408 Brothers Dr
Festus, MO 63028
Phone (636) 429-0999

1090 N Highway 67 St
Florissant, MO 63031

915 N Kirkwood Rd
Kirkwood, MO 63122
Phone (314) 932-0810

1001 Southern Ridge Ln
Lake Saint Louis, MO 63367
Phone (636) 265-6230

4201 Highway K
O Fallon, MO 63368

507 S Main St
O Fallon, MO 63366
Phone (636) 409-1092

8961 Page Ave
Overland, MO 63114

2138 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 534-4498

4400 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 343-0056

2980 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (636) 529-8411

1005 S Big Bend Blvd
Saint Louis, MO 63117
Phone (314) 449-8677

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

12616 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128

3114 S Grand Blvd
Saint Louis, MO 63118

2060 Hampton Ave
Saint Louis, MO 63139
Phone (314) 696-2341

6900 Chippewa St
Saint Louis, MO 63109

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71078
  • Direct secure messaging: birneym@yourcarecommunity.org

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Access Urgent Care PC 130 clinicians

Practice addresses (Care Compare)

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Merit-based Incentive Payment System (MIPS)

Final score
42.87 of 100Reported as group
Quality
31.86
Promoting interoperability
0
Improvement activities
40
Cost
61.04

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1578866596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 LAMPLIGHTER SQR SHPPNG CTR",
            "address_2": "J",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282761",
            "telephone_number": "314-394-1379",
            "fax_number": "314-394-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 LAMPLIGHTER SQR SHPPNG CTR",
            "address_2": "SUITE J",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282761",
            "telephone_number": "314-394-1379",
            "fax_number": "314-394-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNEY",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010041400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "150770001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.