Individual provider Active NPI

Misty Joy Colley, FNP-BC

  • Family Nurse Practitioner
  • Wytheville, VA
National Provider Identifier
1699483495
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185510 Issued in VA
Practice address
1785 W Lee Hwy
Wytheville, VA 24382
Phone
(276) 228-3355
NPI assigned
Nov 10, 2022
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 114784 WV
Family Nurse Practitioner 363LF0000X 36756 TN
Family Nurse Practitioner 363LF0000X 0024185510 VA Primary

Addresses

Primary practice location

1785 W Lee Hwy
Wytheville, VA 24382

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

106 Thorn St
Princeton, WV 24740-3560
Phone (681) 282-5609 ext. 1624

Other practice location 2

1913 Highway 394 Ste 2
Blountville, TN 37617-5415
Phone (423) 662-7002

Other practice location 3

598 Evas Walk
Pounding Mill, VA 24637-3624
Phone (276) 970-3881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, TN, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230731002070 WV Practitioner - Nurse Practitioner 4486015930 Reassigns benefits to 1 organization
I20240924001109 TN Practitioner - Nurse Practitioner 4486015930 Reassigns benefits to 1 organization
I20250502003145 VA Practitioner - Nurse Practitioner 4486015930 Reassigns benefits to 2 organizations

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
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Alliance Xpress Care LLCGroup PAC ID 5496063091, 16 clinicians

Practice addresses (Care Compare)

1785 W Lee Hwy
Wytheville, VA 24382-1437
Phone (276) 228-6499

5275 Alexander Rd
Suite a
Dublin, VA 24084-3657
Phone (540) 960-2231

919 S Craig Ave
Suite a
Covington, VA 24426-1954
Phone (540) 960-2231

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36756TNMDPharmacist
114784WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Xpress Care LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 12, 2024 Accepting new patients
Wellmont Medical Associates Inc Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 12, 2024 Accepting new patients
New Beginnings Therapy Services, LLC CurrentSince Jun 20, 2023 Accepting new patients
New Beginnings Therapy Services, LLC CurrentSince Jun 20, 2023 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients
Wvva Health Care Alliance, PC Past Accepting new patients
Blue Ridge Medical Management Corporation Family Past Accepting new patients
Fast Pace Medical Clinic PLLC PastSince Jun 16, 2024 Accepting new patients
New Beginnings Therapy, LLC Past Accepting new patients

Locations

1913 Highway 394
Blountville, TN 37617
Phone (423) 662-7002

1913 Highway 394
Ste 2
Blountville, TN 37617
Phone (423) 662-6002

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

919 S Craig Ave
Ste A
Covington, VA 24426
Phone (540) 960-2231

5275 Alexander Rd
Ste A
Dublin, VA 24084
Phone (540) 307-5597

1785 W Lee Hwy
Wytheville, VA 24382
Phone (276) 228-3355

616 Harrison St
Princeton, WV 24740
Phone (304) 320-0498

1100 9th St
Ste E
Vienna, WV 26105

Organizations & group practices 12

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 4

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": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1699483495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111",
            "fax_number": "423-282-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W LEE HWY",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "24382",
            "telephone_number": "276-228-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Thorn St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247403560",
            "country_code": "US",
            "telephone_number": "681-282-5609 x1624",
            "fax_number": "304-936-6157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1913 Highway 394 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Blountville",
            "state": "TN",
            "postal_code": "376175415",
            "country_code": "US",
            "telephone_number": "423-662-7002",
            "fax_number": "423-662-7003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "598 Evas Walk",
            "address_purpose": "LOCATION",
            "city": "Pounding Mill",
            "state": "VA",
            "postal_code": "246373624",
            "country_code": "US",
            "telephone_number": "276-970-3881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLEY",
        "first_name": "MISTY",
        "middle_name": "JOY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "114784",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36756",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.