Individual provider Active NPI

Misty Gaylene Hornsby-Odom, FNP

  • Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1689665374
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
606499 Issued in TX
Practice address
2306 Ridge Rd
Rockwall, TX 75087-5140
Phone
(972) 771-8316
Fax
(972) 722-9214
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 606499 TX Primary

Addresses

Primary practice location

2306 Ridge Rd
Rockwall, TX 75087-5140

Mailing address

110 Thoroughbred
Fate, TX 75087-6863
Phone (469) 323-0332

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
I20040624000412 TX Practitioner - Nurse Practitioner 8325023112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visiting Physicians Network IncGroup PAC ID 4981600970, 8 clinicians

Practice addresses (Care Compare)

5440 Harvest Hill Rd
Suite 182
Dallas, TX 75230-1605
Phone (972) 484-0040

Hospital & facility affiliations

  • Expedient Home Health Care Home health agency, Rockwall, TX, CCN 679377

Merit-based Incentive Payment System (MIPS)

Final score
81.47 of 100Reported as group
Quality
82.96
Improvement activities
40
Cost
44.28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Family Doctor, P. a. CurrentSince Nov 19, 2014 Accepting new patients
Visiting Physician'S Network, Inc CurrentSince Feb 15, 2022 Accepting new patients
Clinical Oncology and Hematology Past Accepting new patients
Wellmed Medical Group, PA Past Accepting new patients
Ridge Road Medical Center PA Past Accepting new patients
Clinical Oncology & Hematology, LLP Past Accepting new patients

Locations

5440 Harvest Hill Rd
Ste 182
Dallas, TX 75230
Phone (972) 484-0040

1919 S Shiloh Rd
Ste 333
Garland, TX 75042
Phone (972) 276-9902

Interoperability endpoints

  • Direct secure messaging: mistyhornsby-odom@ofd.allscriptsdirect.net

Organizations & group practices 6

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.

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1689665374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 THOROUGHBRED",
            "city": "FATE",
            "state": "TX",
            "postal_code": "750876863",
            "telephone_number": "469-323-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 RIDGE RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875140",
            "telephone_number": "972-771-8316",
            "fax_number": "972-722-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSBY-ODOM",
        "first_name": "MISTY",
        "middle_name": "GAYLENE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "606499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.