Individual provider Active NPI

Mistey Rayl, AGNP

  • Nurse Practitioner
  • Grayling, MI
National Provider Identifier
1992202873
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704231346 Issued in MI
Practice address
1250 E Michigan Ave
Grayling, MI 49738-7074
Phone
(989) 348-0550
Fax
(989) 348-0473
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704231346 MI
Nurse Practitioner 363L00000X 4704231346 MI Primary

Addresses

Primary practice location

1250 E Michigan Ave
Grayling, MI 49738-7074

Mailing address

3808 W Jones Lake Rd
Grayling, MI 49738-8606
Phone (989) 390-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180710002435 MI Practitioner - Nurse Practitioner 8022364744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midmichigan Health Services 27 clinicians

Practice addresses (Care Compare)

565 Progress St
Suite D
West Branch, MI 48661-8601
Phone (989) 422-5122

9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Phone (989) 422-5122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704231346MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Michigan, PLLC Current Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Nurse Practitioner CurrentSince May 13, 2018 Accepting new patients
Midmichigan Health Services CurrentSince Jun 6, 2022 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince May 13, 2018 Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC CurrentSince Oct 15, 2022 Accepting new patients
Midmichigan Health Services CurrentSince Jun 6, 2022 Accepting new patients
Midmichigan Health Services Past Accepting new patients

Locations

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

9249 W Lake City Rd
Houghton Lake, MI 48629
Phone (989) 422-2183

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: mrayl124827@mymichiganhealth.midirect.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1992202873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W JONES LAKE RD",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497388606",
            "telephone_number": "989-390-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MICHIGAN AVE",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497387074",
            "telephone_number": "989-348-0550",
            "fax_number": "989-348-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYL",
        "first_name": "MISTEY",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704231346",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704231346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

Verify at the official NPI Registry.