Individual provider Active NPI

Misty A Roberson, RN, MSN, FNP-C

  • Primary Care Nurse Practitioner
  • Hartsville, TN
National Provider Identifier
1952864449
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN0000025706 Issued in TN
Practice address
140 Macon Way
Hartsville, TN 37074-2080
Phone
(158) 080-5026
NPI assigned
Apr 10, 2019
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APN0000025706 TN Primary

Addresses

Primary practice location

140 Macon Way
Hartsville, TN 37074-2080

Mailing address

140 Macon Way
Hartsville, TN 37074-2080

Other practice location 1

127 Oakland Dr
Gallatin, TN 37066-4725
Phone (615) 686-9148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200225003078 TN Practitioner - Nurse Practitioner 6103253448

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN0000025706TNMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1952864449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MACON WAY",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370742080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MACON WAY",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370742080",
            "telephone_number": "158-080-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Oakland Dr",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370664725",
            "country_code": "US",
            "telephone_number": "615-686-9148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "MISTY",
        "middle_name": "A",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN0000025706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, TN

Sources for this page

Verify at the official NPI Registry.