Active NPI
Misty Leigh Hartwick
- Family Nurse Practitioner
- Alexander, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 214872
- Practice address
- 2804 Leslie LN
Alexander, AR 72002-8630 - Phone
- (501) 772-0439
- NPI assigned
- Apr 12, 2021
- Last updated
- Apr 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 214872 | AR | Primary |
Addresses
Primary practice location
2804 Leslie LN
Alexander, AR 72002-8630
Mailing address
2804 Leslie LN
Alexander, AR 72002-8630
Phone (501) 772-0439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214872 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14 Parkstone Cir
North Little Rock, AR 72116-7086
Phone (501) 748-3333
14 Parkstone Circle
North Little Rock, AR 72116-7086
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.63 of 100
- Quality
- 67.26
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Palliative Care, LLC | Current | Accepting new patients | |
| Arkansas Advanced Care, LLC | Current | Accepting new patients |
Locations
14 Parkstone Cir
North Little Rock, AR 72116
Phone (501) 748-3333
14 Parkstone Cir
#C
North Little Rock, AR 72116
Phone (501) 748-3333
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeTouch Health Palliative Care
- General Practice Physician
- North Little Rock, AR
- NPI 1205202728
-
dba LifeTouch Health Primary Care
- General Practice Physician
- North Little Rock, AR
- NPI 1205568623
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Elite Home Health
- Home Health Agency
- Hot Springs, AR
- NPI 1790724102
-
- Home Health Agency
- Little Rock, AR
- NPI 1275520652
-
- Home Health Agency
- Hot Springs, AR
- NPI 1275544991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1760062947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 LESLIE LN",
"city": "ALEXANDER",
"state": "AR",
"postal_code": "720028630",
"telephone_number": "501-772-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 LESLIE LN",
"city": "ALEXANDER",
"state": "AR",
"postal_code": "720028630",
"telephone_number": "501-772-0439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTWICK",
"first_name": "MISTY",
"middle_name": "LEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-12",
"last_updated": "2021-04-12",
"certification_date": "2021-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "214872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "214872",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexander, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.