Individual provider Active NPI

Misty Walker Cagle, FNP-C

  • Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1891941241
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
872321 Issued in MS
Practice address
7148 U S Highway 98 Ste 102
Hattiesburg, MS 39402-9133
Phone
(601) 475-8270
Fax
(769) 207-6209
NPI assigned
Aug 15, 2008
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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 872321 MS Primary

Addresses

Primary practice location

7148 U S Highway 98 Ste 102
Hattiesburg, MS 39402-9133

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 705-2897

Other practice location 1

201A Bay Ave
Richton, MS 39476-9671
Phone (601) 583-1559

Other practice location 2

50 Parkway Ln
Petal, MS 39465-3035
Phone (601) 705-2897

Other identifiers 1

IdentifierTypeStateIssuer
04178581MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcagle50648@directpatientrecord.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20120321000802 MS Practitioner - Nurse Practitioner 9436319829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

415 S 28TH Ave
Hattiesburg Clinic Department of Neurosurge
Hattiesburg, MS 39401-7246
Phone (601) 579-5459

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
872321MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hattiesburg Clinic PA CurrentSince Feb 18, 2016 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Feb 18, 2016 Accepting new patients
Hattiesburg Clinic, PA PastSince Nov 20, 2022 Accepting new patients
Hattiesburg Clinic, PA Past Accepting new patients

Locations

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

7148 U S Highway 98
Ste 102
Hattiesburg, MS 39402
Phone (601) 261-1500

50 Parkway Ln
Petal, MS 39465
Phone (601) 544-7404

50 Parkway Ln
Ste 100
Petal, MS 39465
Phone (601) 705-2897

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1891941241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-705-2897",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7148 U S HIGHWAY 98 STE 102",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394029133",
            "telephone_number": "601-475-8270",
            "fax_number": "769-207-6209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201A Bay Ave",
            "address_purpose": "LOCATION",
            "city": "Richton",
            "state": "MS",
            "postal_code": "394769671",
            "country_code": "US",
            "telephone_number": "601-583-1559",
            "fax_number": "601-788-6205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Parkway Ln",
            "address_purpose": "LOCATION",
            "city": "Petal",
            "state": "MS",
            "postal_code": "394653035",
            "country_code": "US",
            "telephone_number": "601-705-2897",
            "fax_number": "601-587-6457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAGLE",
        "first_name": "MISTY",
        "middle_name": "WALKER",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "872321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04178581",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcagle50648@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "50 Parkway Ln",
            "city": "Petal",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394653035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.