Active NPI
Misty Woolever, FNP
- Family Nurse Practitioner
- Monticello, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71004773A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201217310 | Medicaid | IN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28168308A | IN | MD | Family Nurse Practitioner |
| 71004773A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Indiana, LLC | Current | Accepting new patients | |
| Sound Physicians of Indiana, LLC | Current | Accepting new patients | |
| Sound Physicians of Indiana, LLC | Nurse Practitioner | Current | Accepting new patients |
| Inphynet Primary Care Physicians Midwest, S.C. | Nurse Practitioner | Current | Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Current | Accepting new patients | |
| Concord Medical Group of Kentucky PLLC | Nurse Practitioner | Current | 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
- mswan86830@direct.parkviewexchange.com
- 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.
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Physician Assistant
- Fort Wayne, IN
- NPI 1528090610
Nurse Practitioner
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
IN, Nurse Practitioner
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1942317656
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1184063257
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.