Individual provider Active NPI

Misty Leigh Hartwick

  • Family Nurse Practitioner
  • Alexander, AR
National Provider Identifier
1760062947
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214872 Issued in AR
Practice address
2804 Leslie LN
Alexander, AR 72002-8630
Phone
(501) 772-0439
NPI assigned
Apr 12, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
214872MedicaidAR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322002251 AR Practitioner - Nurse Practitioner 8123413531 Reassigns benefits to 2 organizations

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
Arkansas Palliative Care, LLCGroup PAC ID 3173825361, 17 clinicians

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 100Reported as apm
Quality
67.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Palliative Care, LLC CurrentSince Mar 22, 2024 Accepting new patients
Arkansas Advanced Care, LLC CurrentSince Mar 22, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.