MISTY RENEE STURTEVANT (, LCSW) – Clinical Social Worker, NPI 1255985693

MISTY RENEE STURTEVANT (, LCSW) is a healthcare provider. based in Roswell, New Mexico. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials , LCSW. They hold a License No. C-12121 (NM). The NPI Number for MISTY RENEE STURTEVANT (, LCSW) is 1255985693

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MISTY RENEE STURTEVANT (, LCSW)
NPI
1255985693
Phone
(575) 755-2275
Address
110 E MESCALERO RD
Enumeration Date
24 July 2019
Last Update Date
15 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5053566695
Graduation Year
2019 (7 years ago)
PAC ID
0941687248
Group Practice PAC ID
9234032939
Professional Enrollment ID
I20220505002506
Address ID
NM881305703PO1515XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

736 CLINICAL SOCIAL WORKER in NM

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Provider Addresses for MISTY RENEE STURTEVANT (, LCSW)

  • 110, East Mescalero Road, Roswell, Chaves County, New Mexico, 88201, United States

    ROSWELL, NM 882016542

    Phone: (575) 755-2275

    Fax: (575) 622-3325

    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)

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: 2022-05-05

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
I20220505002506IClinical Social WorkerNMTBD

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
90834Psychotherapy, 45 minutes3012$0
View full utilization report →

Insurance plans in this area (ZIP 88201)

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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: 9234032939View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MISTY RENEE STURTEVANT (, LCSW) in U.S. healthcare records?
The official identifier for MISTY RENEE STURTEVANT (, LCSW) is NPI 1255985693.
Would MISTY RENEE STURTEVANT (, LCSW) appear as active to a payer?
You can treat MISTY RENEE STURTEVANT (, LCSW) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MISTY RENEE STURTEVANT (, LCSW)?
MISTY RENEE STURTEVANT (, LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Where in New Mexico is MISTY RENEE STURTEVANT (, LCSW) registered?
Use Roswell, New Mexico as the headline location for MISTY RENEE STURTEVANT (, LCSW) here.
Does MISTY RENEE STURTEVANT (, LCSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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