Misty Kay Fortner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07530 Issued in TX

Practice address

5220 80TH St
Lubbock, TX 79424-2862

Phone

(806) 771-2400

Fax

(806) 771-7760

NPI assigned

Nov 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Misty Kay Wilde Former name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arthritis and Osteoporosis Associates, LLPGroup PAC ID 7719963982, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Arthritis & Osteoporosis Associates, LLP

  • Specialist
  • Lubbock, TX
  • NPI 1952354300
  Medicare reassignment Care Compare group
• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904
  NPD (past)

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1609152776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 80TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242862",
            "telephone_number": "806-771-2400",
            "fax_number": "806-771-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 80TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242862",
            "telephone_number": "806-771-2400",
            "fax_number": "806-771-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5424 19th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794072164",
            "country_code": "US",
            "telephone_number": "806-795-4391",
            "fax_number": "806-796-1354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Briarwood Ave",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797072753",
            "country_code": "US",
            "telephone_number": "432-682-5385",
            "fax_number": "432-682-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "MISTY",
        "middle_name": "KAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "WILDE",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gianluigi Fornari, M.D.
• Jennifer Lynn Fornari, APRN, FNP-C
• Joe Forsman, D.D.S., M.S.
• April Dawn Fortner, L.P.C.
• Jay Nathan Fortner, D.D.S.
• Robert Brown Fortney, NCC, LPC
• Fortress Home Care, LLC
• Cassie Foster, CCC-SLP
• Katrina Foster, NP-C
• Stephen Foster

• Physician Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.