Individual provider Active NPI

Misty Dawn Sutton, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1770924094
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
729675 Issued in TX
Practice address
4905 Lexington SQ
Amarillo, TX 79119-6574
Phone
(806) 353-6700
Fax
(806) 353-6707
NPI assigned
Jul 15, 2013
Last updated
Mar 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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 729675 TX Primary

Addresses

Primary practice location

4905 Lexington SQ
Amarillo, TX 79119-6574

Mailing address

5 Summit Dr
Canyon, TX 79015
Phone (806) 681-3720

Other identifiers 2

IdentifierTypeStateIssuer
317148YUNJOtherTXMEDICARE UPIN FOR ACCESS MD, INC.
317148YVHVOtherTXMEDICARE UPIN FOR ACCESS MD HEALTHCARE GROUP, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20131106000264 TX Practitioner - Nurse Practitioner 6800021502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access MD Healthcare Group, PLLCGroup PAC ID 2860665585, 2 clinicians
Access MD Inc.Group PAC ID 6305999772, 2 clinicians

Practice addresses (Care Compare)

4905 Lexington SQ
Amarillo, TX 79119-6574
Phone (806) 353-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
729675TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access MD Inc. CurrentSince Jul 6, 2013 Accepting new patients

Locations

4905 Lexington Sq
Amarillo, TX 79119
Phone (806) 353-6700

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 2

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": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1770924094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUMMIT DR",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "79015",
            "telephone_number": "806-681-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 LEXINGTON SQ",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196574",
            "telephone_number": "806-353-6700",
            "fax_number": "806-353-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "729675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN FOR ACCESS MD, INC.",
            "identifier": "317148YUNJ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN FOR ACCESS MD HEALTHCARE GROUP, PLLC",
            "identifier": "317148YVHV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.