Individual provider Active NPI

Misty Herron, NP

  • Family Nurse Practitioner
  • Marksville, LA
National Provider Identifier
1639980675
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
239625 Issued in LA
Practice address
597 Tunica Dr W
Marksville, LA 71351-2628
Phone
(318) 409-4484
Fax
(318) 409-4584
NPI assigned
Jan 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 239625 LA Primary

Addresses

Primary practice location

597 Tunica Dr W
Marksville, LA 71351-2628

Mailing address

171 Melancon Rd
Marksville, LA 71351-3065
Phone (318) 359-3659

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251003003117 TX Practitioner - Nurse Practitioner 5294231601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

171 Melancon Rd
Marksville, LA 71351-3065
Phone (318) 240-6437

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tunica Biloxi Tribe of Louisiana Tribal Office CurrentSince Mar 30, 2025 Accepting new patients
Tunica- Biloxi Tribe of Louisiana Tribal Office CurrentSince Jul 20, 2025 Accepting new patients

Locations

597 Tunica Dr W
Marksville, LA 71351
Phone (318) 253-0677

171 Melancon Rd
Marksville, LA 71351
Phone (318) 240-6435

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1639980675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MELANCON RD",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713513065",
            "telephone_number": "318-359-3659",
            "fax_number": "318-253-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 TUNICA DR W",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512628",
            "telephone_number": "318-409-4484",
            "fax_number": "318-409-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "MISTY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "239625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

Verify at the official NPI Registry.