MISTY LEEANNE DENEVAN (RN) – Family Nurse Practitioner, NPI 1477044162

MISTY LEEANNE DENEVAN (RN) is a healthcare provider. based in Lebanon, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 2018024053 (MO). The NPI Number for MISTY LEEANNE DENEVAN (RN) is 1477044162

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MISTY LEEANNE DENEVAN (RN)
NPI
1477044162
Phone
(417) 533-6100
Address
100 Hospital Dr
Enumeration Date
29 May 2018
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4173357000
Graduation Year
2018 (8 years ago)
PAC ID
7517214505
Group Practice PAC ID
5092624320
Professional Enrollment ID
I20180723001076
Address ID
MO656162052BR525XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for MISTY LEEANNE DENEVAN (RN)

  • 100 Hospital Dr

    Lebanon, MO 655369210

    Phone: (417) 533-6100

    Type: Location

  • Mercy Hospital Lebanon, 100, Hospital Drive, Lebanon, Laclede County, Missouri, 65536, United States

    LEBANON, MO 655369210

    Phone: (417) 533-6100

    Type: Mailing

  • 1100, North Kentucky Avenue, West Plains, Howell County, Missouri, 65775, United States

    WEST PLAINS, MO 65775

    Phone: (417) 256-9111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-05-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180723001076INurse PractitionerMOTBD
I20210513001918INurse 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
99283Emergency department visit with low level of medical decision making4949$0
99284Emergency department visit with moderate level of medical decision making4242$0
99282Emergency department visit with straightforward medical decision making1616$0
99285Emergency department visit with high level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 65536)

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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: 5092624320View full group profile
NameSpecialtyState
Family PracticeMO
Family PracticeMO
-MO
-MO
Family PracticeMO
Physician AssistantMO
Family PracticeMO
Nurse PractitionerMO
R H E U M A T O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

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Frequently asked questions

What identifier follows MISTY LEEANNE DENEVAN (RN) across health systems?
The NPI 1477044162 uniquely identifies MISTY LEEANNE DENEVAN (RN) in U.S. healthcare data.
Is MISTY LEEANNE DENEVAN (RN) currently accepting referrals based on NPI status?
Registry metadata lists MISTY LEEANNE DENEVAN (RN) as active.
Which specialty label fits MISTY LEEANNE DENEVAN (RN)?
NPPES ties MISTY LEEANNE DENEVAN (RN) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MISTY LEEANNE DENEVAN (RN)?
MISTY LEEANNE DENEVAN (RN) shows a connection to Lebanon, Missouri in registry-derived data.
Can I export MISTY LEEANNE DENEVAN (RN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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