Individual provider Active NPI

Misty D Montellano, NP-C

  • Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1740580935
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP119551 Issued in TX
Practice address
4904 Rock Point St
Wichita Falls, TX 76310-3529
Phone
(940) 782-2255
Fax
(940) 766-6404
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 661454 TX
Nurse Practitioner 363L00000X AP119551 TX Primary

Addresses

Primary practice location

4904 Rock Point St
Wichita Falls, TX 76310-3529

Mailing address

4904 Rock Point St
Wichita Falls, TX 76310-3529
Phone (940) 782-2255

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
I20110211000161 TX Practitioner - Nurse Practitioner 4880874692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

4025 S Padre Island Dr
Corpus Christi, TX 78411-4420
Phone (361) 852-8255

4601 Old Jacksboro Hwy
Wichita Falls, TX 76302-2921
Phone (940) 343-5543

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
661454TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Jul 14, 2025 Accepting new patients
American Current Care, P.a. CurrentSince Jul 14, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

3817 Stagg Dr
Beaumont, TX 77701
Phone (409) 813-1920

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

Organizations & group practices 3

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": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1740580935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 ROCK POINT ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763103529",
            "telephone_number": "940-782-2255",
            "fax_number": "940-766-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 ROCK POINT ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763103529",
            "telephone_number": "940-782-2255",
            "fax_number": "940-766-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELLANO",
        "first_name": "MISTY",
        "middle_name": "D",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "661454",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP119551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.