Individual provider Active NPI

Misty D Stone, APN FNP

  • Nurse Practitioner
  • Fairfield, IL
National Provider Identifier
1831873033
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209027594 Issued in IL
Practice address
303 NW 11TH St
Fairfield, IL 62837-1206
Phone
(618) 842-4617
NPI assigned
Jun 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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 209027594 IL Primary

Addresses

Primary practice location

303 NW 11TH St
Fairfield, IL 62837-1206

Mailing address

303 NW 11TH St
Fairfield, IL 62837-1206
Phone (618) 842-4617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230622001274 IL Practitioner - Nurse Practitioner 8224496344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield Memorial Hospital AssociationGroup PAC ID 5698671741, 32 clinicians

Practice addresses (Care Compare)

303 NW 11TH St
Fairfield, IL 62837-1203
Phone (618) 847-8346

Hospital & facility affiliations

  • Fairfield Memorial Hospital 1 Hospital, Fairfield, IL, CCN 141311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Memorial Hospital Association CurrentSince Jun 9, 2023 Accepting new patients
Fairfield Memorial Hospital Association Current Accepting new patients
Fairfield Memorial Hospital Association CurrentSince Jun 9, 2023 Accepting new patients

Locations

303 NW 11th St
Fairfield, IL 62837
Phone (618) 842-2611

213 NW 10th St
Ste A
Fairfield, IL 62837
Phone (618) 842-4617

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/11356/brand/1/csg/161/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1831873033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NW 11TH ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371206",
            "telephone_number": "618-842-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 NW 11TH ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371206",
            "telephone_number": "618-842-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "MISTY",
        "middle_name": "D",
        "credential": "APN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209027594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IL

Sources for this page

Verify at the official NPI Registry.