Individual provider Active NPI

Misty Stevenson, RN

  • Home Health Registered Nurse
  • Gulfport, MS
National Provider Identifier
1700510302
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
R885868 Issued in MS
Practice address
11497 Highway 49 Ste B
Gulfport, MS 39503-3152
Phone
(228) 323-7695
Fax
(228) 678-7146
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X R885868 MS
Hospice Registered Nurse 163WH1000X R885868 MS
Wound Care Registered Nurse 163WW0000X R885868 MS
In Home Supportive Care Agency 253Z00000X 16753 MS
Home Health Registered Nurse 163WH0200X R885868 MS Primary

Addresses

Primary practice location

11497 Highway 49 Ste B
Gulfport, MS 39503-3152

Mailing address

839B 28TH St
Gulfport, MS 39501-5413
Phone (228) 596-5911

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@elitehomecare.services Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R885868MSMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Care Home Care Services LLC In Home Supportive Care CurrentSince May 7, 2024 Accepting new patients
Elite Care Health Group Home Health CurrentSince Aug 25, 2025 Accepting new patients

Locations

1520 29th Ave
Ste 16
Gulfport, MS 39501
Phone (228) 209-6307

839B 28th St
Gulfport, MS 39501
Phone (228) 596-5911

11497 Highway 49
Ste B
Gulfport, MS 39503
Phone (228) 323-7695

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1700510302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839B 28TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395015413",
            "telephone_number": "228-596-5911",
            "fax_number": "228-678-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11497 HIGHWAY 49 STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033152",
            "telephone_number": "228-323-7695",
            "fax_number": "228-678-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "MISTY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MS",
            "license": "R885868",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "MS",
            "license": "R885868",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MS",
            "license": "R885868",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MS",
            "license": "16753",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MS",
            "license": "R885868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@elitehomecare.services",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "1520 29th Ave Ste 16",
            "city": "Gulfport",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395012843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.