MRS. MISTY ANN DOUTHIT – Family Nurse Practitioner, NPI 1790914927

MRS. MISTY ANN DOUTHIT is a healthcare provider. based in Pine bluff, Arkansas. specializing in NURSE PRACTITIONER. They hold a License No. A03263 ANP (AR). The NPI Number for MRS. MISTY ANN DOUTHIT is 1790914927

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MISTY ANN DOUTHIT
NPI
1790914927
Phone
(870) 536-3279
Address
4720 DOLLARWAY RD
Enumeration Date
9 July 2009
Last Update Date
9 July 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8706784010
Graduation Year
2008 (18 years ago)
PAC ID
0840345179
Group Practice PAC ID
0648177949
Professional Enrollment ID
I20090909000736
Address ID
AR717638938SP104XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for MRS. MISTY ANN DOUTHIT

  • 4720, Dollarway Road, Leitner, Pine Bluff, Jefferson County, Arkansas, 71602, United States

    PINE BLUFF, AR 716024126

    Phone: (870) 536-3279

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $641.

Total Amount is formed as General ($641) + Research ($0) + Ownership ($0) = $641.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($95).

Total Amount

$641

General + Research + Ownership

Payments

39

Total payment records

General Amount

$641

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090909000736INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes247155$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg18240$0
J1100Injection, dexamethasone sodium phosphate, 1 mg17841$0
36415Insertion of needle into vein for collection of blood sample138101$0
96372Injection of drug or substance under skin or into muscle5748$0
View full utilization report →

Insurance plans in this area (ZIP 71602)

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Provider's Procedures

MRS. MISTY ANN DOUTHIT performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERAR81002Urinalysis, manual test5539

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648177949View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Peripheral Vascular DiseaseAR
Nurse PractitionerAR
Nurse PractitionerAR
Interventional Cardiology, Cardiovascular Disease (Cardiology)AR
Cardiovascular Disease (Cardiology)AR
O B S T E T R I C S/ G Y N E C O L O G YAR
Physician AssistantAR
Family PracticeAR
Nurse PractitionerAR
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MO

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. MISTY ANN DOUTHIT?
NPI 1790914927 is assigned to MRS. MISTY ANN DOUTHIT under the national enumeration system.
Is MRS. MISTY ANN DOUTHIT's NPI currently valid?
The extract we use shows MRS. MISTY ANN DOUTHIT as active.
What field does MRS. MISTY ANN DOUTHIT work in?
You can think of MRS. MISTY ANN DOUTHIT as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. MISTY ANN DOUTHIT's primary listing?
We display Pine Bluff, Arkansas because that is what the record indicates for MRS. MISTY ANN DOUTHIT.
How can I contact MRS. MISTY ANN DOUTHIT?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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