Individual provider Active NPI

Misty Woolever, FNP

  • Family Nurse Practitioner
  • Monticello, IN
National Provider Identifier
1740603810
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004773A Issued in IN
Practice address
303 N Main St
Monticello, IN 47960-2134
Phone
(574) 297-5527
Fax
(574) 583-0153
NPI assigned
Jan 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71004773A IN
Family Nurse Practitioner 363LF0000X 28168308A IN
Family Nurse Practitioner 363LF0000X 71004773A IN Primary

Addresses

Primary practice location

303 N Main St
Monticello, IN 47960-2134

Mailing address

303 N Main St
Monticello, IN 47960-2134
Phone (574) 297-5527

Other practice location 1

1101 Michigan Ave
Logansport, IN 46947-1528
Phone (574) 753-7541

Other identifiers 1

IdentifierTypeStateIssuer
201217310MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20141031000352 IN Practitioner - Nurse Practitioner 9436370657 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28168308AINMDFamily Nurse Practitioner
71004773AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Indiana, LLC CurrentSince Oct 26, 2019 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Oct 26, 2019 Accepting new patients
Sound Physicians of Indiana, LLC Nurse Practitioner CurrentSince Oct 26, 2019 Accepting new patients
Inphynet Primary Care Physicians Midwest, S.C. Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Emergency Professionals of Indiana, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Concord Medical Group of Kentucky PLLC Nurse Practitioner CurrentSince Oct 24, 2024 Accepting new patients

Locations

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292

Interoperability endpoints

  • Direct secure messaging: mswan86830@direct.parkviewexchange.com
  • Direct secure messaging: misty.woolever.1@23284.direct.athenahealth.com

Organizations & group practices 7

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": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1740603810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N MAIN ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602134",
            "telephone_number": "574-297-5527",
            "fax_number": "574-583-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N MAIN ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602134",
            "telephone_number": "574-297-5527",
            "fax_number": "574-583-0153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469471528",
            "country_code": "US",
            "telephone_number": "574-753-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOLEVER",
        "first_name": "MISTY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004773A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28168308A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004773A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201217310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IN

Sources for this page

Verify at the official NPI Registry.