Individual provider Active NPI

Misty Hargis, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1609537034
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31993 Issued in TN
Practice address
1540 Member LN Ste 100
Knoxville, TN 37909-1231
Phone
(865) 705-2772
NPI assigned
Jan 7, 2022
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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 31993 TN Primary

Addresses

Primary practice location

1540 Member LN Ste 100
Knoxville, TN 37909-1231

Mailing address

920 Lane Dr
Friendsville, TN 37737-2828
Phone (865) 705-2772

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mhargis@painconsultants.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20220914000736 TN Practitioner - Nurse Practitioner 5294110144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Consultants of East Tennessee, PLLCGroup PAC ID 3173424298, 18 clinicians

Practice addresses (Care Compare)

575 Oak Ridge Tpke
Suite 110
Oak Ridge, TN 37830-7173
Phone (865) 579-0552

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31993TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Institute PC CurrentSince Jul 19, 2022 Accepting new patients
Pain Consultants of East Tennessee, PLLC CurrentSince Jul 19, 2022 Accepting new patients

Locations

1540 Member Ln
Ste 100
Knoxville, TN 37909
Phone (865) 579-0552

220 Fort Sanders West Blvd
Ste 308
Knoxville, TN 37922
Phone (865) 579-0552

575 Oak Ridge Tpke
Ste 110
Oak Ridge, TN 37830
Phone (865) 579-0552

Interoperability endpoints

  • Direct secure messaging: mhargis@painconsultants.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1609537034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 LANE DR",
            "city": "FRIENDSVILLE",
            "state": "TN",
            "postal_code": "377372828",
            "telephone_number": "865-705-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 MEMBER LN STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091231",
            "telephone_number": "865-705-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGIS",
        "first_name": "MISTY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mhargis@painconsultants.com",
            "affiliation": "N",
            "address_1": "1540 Member Ln Ste 100",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379091231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.