Active NPI
Misty Dawn Birney, FNP
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2010041400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150770001 | Other | MO | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2010041400 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tauc Il, PC | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Granite City Hospitalist Services LLC | Current | Accepting new patients | |
| Christopher T. Labonte MD LLC | Past | 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
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71078
- 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.
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1952729402
-
- Internal Medicine Physician
- Town and Country, MO
- NPI 1952409971
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
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 100
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.