Individual provider Active NPI

Misty Elaine Daughters, AG-ACNP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1760038863
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
250593 Issued in AZ
Practice address
6036 N 19TH Ave Ste 502
Phoenix, AZ 85015-2143
Phone
(623) 738-0193
Fax
(623) 745-0801
NPI assigned
Aug 14, 2019
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 250593 AZ Primary

Addresses

Primary practice location

6036 N 19TH Ave Ste 502
Phoenix, AZ 85015-2143

Mailing address

6036 N 19TH Ave Ste 502
Phoenix, AZ 85015-2143
Phone (623) 738-0193

Other names 1

  • Misty Elaine Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20191216000105 AZ Practitioner - Nurse Practitioner 7214360791 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Leading Healthcare Specialist PLLCGroup PAC ID 6002246352, 20 clinicians
Arizona Pain Care Center PLLCGroup PAC ID 5496018921, 12 clinicians
Leading Healthcare PLLCGroup PAC ID 1850652496, 42 clinicians

Practice addresses (Care Compare)

12622 E Victoria St
Chandler, AZ 85249-3748
Phone (623) 295-1190

17100 N 67TH Ave
Suite 600 601
Glendale, AZ 85308-3605
Phone (520) 742-4008

22922 N 40TH PL
Phoenix, AZ 85050-8742
Phone (347) 309-3320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250593AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Acute Medical Services 1 PC CurrentSince Jun 1, 2023 Accepting new patients
Emergency Group of Arizona Professional Corporation Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Leading Healthcare, LLC Acute Care CurrentSince Jan 2, 2024 Accepting new patients
Arizona Pain Care Center, PLLC CurrentSince Dec 17, 2025 Accepting new patients
Leading Healthcare Specialist PLLC Acute Care CurrentSince Aug 25, 2024 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
Arizona Pain Care Associates LLC PastSince Dec 17, 2025 Accepting new patients
Suleiman Ali LLC PastSince Nov 29, 2020 Accepting new patients

Locations

350 E La Canada Blvd
Avondale, AZ 85323
Phone (540) 818-5752

5227 E Carefree Hwy
Cave Creek, AZ 85331
Phone (602) 824-3900

17100 N 67th Ave
Ste 600
Glendale, AZ 85308

17100 N 67th Ave
Ste 600601
Glendale, AZ 85308
Phone (520) 742-4008

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

13575 W McDowell Rd
Goodyear, AZ 85395
Phone (347) 309-3320

12480 N Rancho Vistoso Blvd
Ste 180
Oro Valley, AZ 85755
Phone (520) 544-5130

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGEIBD

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1760038863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 N 19TH AVE STE 502",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152143",
            "telephone_number": "623-738-0193",
            "fax_number": "623-745-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 N 19TH AVE STE 502",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152143",
            "telephone_number": "623-738-0193",
            "fax_number": "623-745-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHTERS",
        "first_name": "MISTY",
        "middle_name": "ELAINE",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "250593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "BROWN",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.