Individual provider Active NPI

Misty Bilby

  • Case Manager/Care Coordinator
  • Mounds, OK
National Provider Identifier
1962870048
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
17225 S 89TH West Ave
Mounds, OK 74047-4127
Phone
(918) 230-0828
NPI assigned
Sep 8, 2015
Last updated
Sep 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

17225 S 89TH West Ave
Mounds, OK 74047-4127

Mailing address

17225 S 89TH West Ave
Mounds, OK 74047-4127
Phone (918) 230-0828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002000776 OK Practitioner - Clinical Social Worker 5092169698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creoks Mental Health Seervices CurrentSince Sep 1, 2023 Accepting new patients
Creoks Mental Health Services CurrentSince Sep 1, 2023 Accepting new patients
Creoks Mental Health Services Current Accepting new patients

Locations

1803 S Wood Dr
Okmulgee, OK 74447
Phone (918) 756-9250

4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302

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, 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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1962870048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17225 S 89TH WEST AVE",
            "city": "MOUNDS",
            "state": "OK",
            "postal_code": "740474127",
            "telephone_number": "918-230-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17225 S 89TH WEST AVE",
            "city": "MOUNDS",
            "state": "OK",
            "postal_code": "740474127",
            "telephone_number": "918-230-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILBY",
        "first_name": "MISTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mounds, OK

Sources for this page

Verify at the official NPI Registry.