Misty G Gilley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3010142 Issued in KY

Practice address

913 N Dixie Ave
Elizabethtown, KY 42701-2503

Phone

(877) 783-6257

Fax

(859) 514-5521

NPI assigned

May 12, 2016

Last updated

May 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: misty.gilley.1@15020.direct.athenahealth.com

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.

• Breckinridge Health, Inc

  • Critical Access Hospital
  • Hardinsburg, KY
  • NPI 1104828383
  Medicare reassignment NPD
• Elizabethtown Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Elizabethtown, KY
  • NPI 1528003316
  Medicare reassignment NPD
• Concord Company of Tennessee PLLC

  • Emergency Medicine Physician
  • Leitchfield, KY
  • NPI 1649743667
  Medicare reassignment
• Breckinridge Health Inc

  dba Irvington Primary Care

  • Family Medicine Physician
  • Irvington, KY
  • NPI 1831990662
  NPD
• Breckinridge Health Inc.

  dba Breckinridge Health ENT

  • Otolaryngology Physician
  • Hardinsburg, KY
  • NPI 1831674811
  NPD

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1891141529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950112",
            "address_2": "DEPT # 52387",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950112",
            "telephone_number": "877-783-6257",
            "fax_number": "859-514-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N DIXIE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012503",
            "telephone_number": "877-783-6257",
            "fax_number": "859-514-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "MISTY",
        "middle_name": "G",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "3010142",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arfa Ghani, DMD
• Zoe Gibons
• Coleen Renee Gibson, LMT
• Michelle Rene' Gibson, COTA
• Kawaljit Gill
• Leona Gwen Gilliam
• Brandie Marie Gillispie
• Marcella Amanda Gleason, D.M.D.
• Robert Cleveland Gleason, DMD
• Christopher J Godfrey, MD

• Family Nurse Practitioner in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.