Individual provider Active NPI

Misty McKinney, APRN-CNP

  • Acute Care Nurse Practitioner
  • Boerne, TX
National Provider Identifier
1669076592
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1019886 Issued in TX
Practice address
910 River Rd Ste 101
Boerne, TX 78006-2441
Phone
(830) 331-2391
NPI assigned
Nov 22, 2020
Last updated
Jul 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 744411 TX
Family Nurse Practitioner 363LF0000X 1019886 TX
Acute Care Nurse Practitioner 363LA2100X 1019886 TX Primary

Addresses

Primary practice location

910 River Rd Ste 101
Boerne, TX 78006-2441

Mailing address

309 Creekview Way
New Braunfels, TX 78130-6454
Phone (214) 870-6996

Other practice location 1

230 Deer Ridge Dr
Round Rock, TX 78681-5515
Phone (512) 766-1400

Other practice location 2

5012 Ranch Road 620 N
Austin, TX 78732-1846
Phone (512) 851-1011

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
I20210623000252 TX Practitioner - Nurse Practitioner 7810398203 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Texas Urgent Care LLCGroup PAC ID 1658632872, 14 clinicians
Round Rock Outpatient Care PLLCGroup PAC ID 7719407717, 7 clinicians
My Urgent Clinic LLCGroup PAC ID 2466716741, 6 clinicians

Practice addresses (Care Compare)

1 FM 3351
Suite 135
Boerne, TX 78006-5730
Phone (830) 336-4330

1860 S Lakeline Blvd
Cedar Park, TX 78613-3872
Phone (512) 506-8503

4438 S Clack St
Abilene, TX 79606-3634

910 River Rd
Suite 101
Boerne, TX 78006-2441
Phone (830) 331-2391

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
744411TXMDRegistered Nurse
1019886TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Urgent Care LLC CurrentSince Oct 24, 2025 Accepting new patients
My Urgent Clinic LLC CurrentSince Mar 18, 2021 Accepting new patients
West Texas Urgent Care LLC CurrentSince Oct 24, 2025 Accepting new patients
Round Rock Outpatient Care PLLC CurrentSince Oct 19, 2025 Accepting new patients
West Texas Urgent Care LLC Past Accepting new patients

Locations

4438 S Clack St
Ste 200
Abilene, TX 79606
Phone (325) 704-4470

910 River Rd
Ste 101
Boerne, TX 78006
Phone (830) 331-2391

1860 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 506-8503

3620 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 260-2732

1925 S A W Grimes Blvd
Round Rock, TX 78664
Phone (512) 260-2732

230 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 766-1400

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

8703 Bandera Rd
San Antonio, TX 78250
Phone (210) 332-5460

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1669076592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 CREEKVIEW WAY",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306454",
            "telephone_number": "214-870-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 RIVER RD STE 101",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062441",
            "telephone_number": "830-331-2391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Deer Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786815515",
            "country_code": "US",
            "telephone_number": "512-766-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5012 Ranch Road 620 N",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787321846",
            "country_code": "US",
            "telephone_number": "512-851-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "MISTY",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-22",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "744411",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019886",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1019886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.