MISTY HEAD (CNM, WHNP-BC) – Advanced Practice Midwife, NPI 1194504035

MISTY HEAD (CNM, WHNP-BC) is a healthcare provider. based in Detroit, Michigan. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM, WHNP-BC. They hold a License No. 4704369275 (MI). The NPI Number for MISTY HEAD (CNM, WHNP-BC) is 1194504035

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MISTY HEAD (CNM, WHNP-BC)
NPI
1194504035
Phone
(313) 897-7700
Address
6550 W WARREN AVE
Enumeration Date
28 September 2023
Last Update Date
16 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3138977700
Graduation Year
2023 (3 years ago)
PAC ID
2062863772
Group Practice PAC ID
9234021148
Professional Enrollment ID
I20240108000374
Address ID
MI482101134DE6550XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

206 CERTIFIED NURSE MIDWIFE (CNM) in MI

Provider Addresses for MISTY HEAD (CNM, WHNP-BC)

  • 6550 W WARREN AVE

    DETROIT, MI 482101134

    Phone: (313) 897-7700

    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 1 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-01-20 • Largest payer in this snapshot: Organon LLC ($105).

Total Amount

$105

General + Research + Ownership

Payments

1

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$105
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: 2024-01-08

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
I20240108000374ICertified Nurse Midwife (Cnm)MITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48210)

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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: 9234021148View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)MI
Family PracticeMI
Infectious DiseaseMI
Internal MedicineMI
-MI
Family PracticeAZ
-MI
Internal MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Registered Dietitian Or Nutrition ProfessionalMI

Reviews

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Frequently asked questions

Does MISTY HEAD (CNM, WHNP-BC) have a public NPI I can cite?
Public records show MISTY HEAD (CNM, WHNP-BC) under NPI 1194504035.
Should I treat MISTY HEAD (CNM, WHNP-BC) as an active provider?
Patients and plans typically see MISTY HEAD (CNM, WHNP-BC) as active in the national extract.
What does the directory say MISTY HEAD (CNM, WHNP-BC) does?
Insurance directories may phrase it differently, but here MISTY HEAD (CNM, WHNP-BC) maps to Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Can patients visit MISTY HEAD (CNM, WHNP-BC) in Detroit, Michigan?
For routing, start with Detroit, Michigan for MISTY HEAD (CNM, WHNP-BC), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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