Misty Maxwell, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-120108 Issued in AL

Practice address

342 Cox Blvd
Sheffield, AL 35660-4020

Phone

(256) 383-4473

Fax

(256) 381-5232

NPI assigned

Nov 1, 2016

Last updated

Nov 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 AL

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoals Primary Care, LLCGroup PAC ID 1557406246, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Shoals Primary Care, LLC

  • Family Medicine Physician
  • Sheffield, AL
  • NPI 1326373861
  Medicare reassignment Care Compare group NPD
• Advantage Family Care Inc

  • Urgent Care Clinic/Center
  • Florence, AL
  • NPI 1023447943
  Medicare reassignment NPD
• Advantage Family Care, Inc.

  dba Huntsville Hospital Urgent Care

  • Rural Health Clinic/Center
  • Athens, AL
  • NPI 1518674936
  NPD

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

• HH Health System - Shoals LLC

  dba Helen Keller Hospital

  • General Acute Care Hospital
  • Sheffield, AL
  • NPI 1508952235
  Care Compare affiliation

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1932651478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD",
            "address_2": "STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-988-2014",
            "fax_number": "615-208-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 COX BLVD",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356604020",
            "telephone_number": "256-383-4473",
            "fax_number": "256-381-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "MISTY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-120108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHOALS PRIMARY CARE, LLC EMPLOYER",
            "identifier": "1326373861",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall Keith Mansell II, D.O.
• Martha Aldridge MD (NW Alabama Practice Management LLC)
• Martin Foot Specialists, Inc
• Kent S Martin, D.P.M.
• Christopher Samuel Martinez, LMT
• Maryellen McIlwain Mayfield, LICSW
• Jerrel Brad McAnalley, M.D.
• Marilyn D McAnalley, CRNP
• Pamela D McGarrah, MD
• Mark Ray McIlwain, DMD, MD

• Family Nurse Practitioner in Sheffield, AL
• Providers in Sheffield, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.